DIANE PETERSON

ANTIGO, WI
NPI1326282534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  1969-024)
Enumeration Date2009-05-01
Last Update Date2009-05-01
Business Address
-- DIANE PETERSON PT
112 E 5TH AVE
ANTIGO, WI 54409-2710
Phone number: 715-623-9462
Mailing Address
-- DIANE PETERSON PT
112 E 5TH AVE
ANTIGO, WI 54409-2710
Phone number: