Penny Peterson, PTA
NPI #1285796268 in West Salem, Wisconsin
Provider Information
- NPI Number
- 1285796268
- Entity Type
- Individual
- Name
- Penny Peterson, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Dec 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 713 N LEONARD ST
- City
- West Salem
- State
- Wisconsin
- ZIP Code
- 54669-1229
- Phone
- (608) 786-2274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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