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1093078859
TAMMY PETERSON
MILWAUKEE, WI
NPI
1093078859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 186819)
Enumeration Date
2012-06-18
Last Update Date
2012-06-18
Business Address
-- TAMMY PETERSON PTA
3540 S 43RD ST
MILWAUKEE, WI 53220-1502
Phone number: 414-328-2128
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Mailing Address
-- TAMMY PETERSON PTA
3540 S 43RD ST
MILWAUKEE, WI 53220-1502
Phone number: 414-328-2128
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