Female

Tammy Peterson PTA

Physical Therapy Assistant in Milwaukee, WI(View on Map)

Full Name

Tammy Peterson PTA

NPI Number

1093078859

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/18/2012

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

186819

Contact
Information

Purpose

Mailing
Location

Address

3540 S 43RD ST
3540 S 43RD ST

City

Milwaukee
Milwaukee

State

WI
WI

Postal Code

53220-1502
53220-1502

Country

US
US

Telephone Number

(414) 328-2128
(414) 328-2128

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/18/2012

Provider Address

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