Lisa Peterson, PTA

NPI #1265952592 in Pleasant Prairie, Wisconsin

Provider Information

NPI Number: 1265952592
Entity Type: Individual
Name: Lisa Peterson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 27, 2017
Last Updated: Feb 25, 2020

Practice Location

Address: 893 94TH ST
City: Pleasant Prairie
State: Wisconsin
ZIP Code: 53158-4911
Phone: (262) 948-0525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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