Lacey Marie Peterson, CPTA

NPI #1124216213 in Madison, Wisconsin

Provider Information

NPI Number
1124216213
Entity Type
Individual
Name
Lacey Marie Peterson, CPTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
CPTA
Enumeration Date
Oct 15, 2007
Last Updated
Oct 15, 2007

Practice Location

Address
1807 PASO ROBLE WAY
ZIP Code
53716-2418
Phone
(605) 267-0314

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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