Melissa Peterson, PTA
NPI #1912170291 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1912170291
- Entity Type
- Individual
- Name
- Melissa Peterson, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Apr 8, 2008
- Last Updated
- Apr 8, 2008
Practice Location
- Address
- 5022 S 69TH ST
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53220-4406
- Phone
- (414) 737-3795
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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