Cheryl M Petersen, PT

NPI #1467471102 in Port Washington, Wisconsin

Provider Information

NPI Number: 1467471102
Entity Type: Individual
Name: Cheryl M Petersen, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1085 NIAGARA LN
City: Port Washington
State: Wisconsin
ZIP Code: 53074-1766
Phone: (262) 268-7260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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