LACEY MARIE PETERSON

MADISON, WI
NPI1124216213
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SD  0174)
Enumeration Date2007-10-15
Last Update Date2007-10-15
Business Address
-- LACEY MARIE PETERSON CPTA
1807 PASO ROBLE WAY
MADISON, WI 53716-2418
Phone number: 605-267-0314
Mailing Address
-- LACEY MARIE PETERSON CPTA
PO BOX 367 249 E 1ST ST
PARKER, SD 57053
Phone number: 605-297-2442
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