Peter Grande

NPI #1942638572 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1942638572
Entity Type: Individual
Name: Peter Grande
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 16, 2013
Last Updated: Oct 16, 2013

Practice Location

Address: 1902 MEAD AVE
City: Sheboygan
State: Wisconsin
ZIP Code: 53081-6140
Phone: (920) 458-8333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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