SHELLY PETERSON

PRAIRIE DU CHIEN, WI
NPI1346600889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  5194-27)
Enumeration Date2016-02-25
Last Update Date2019-05-28
Business Address
SHELLY PETERSON COTA
326 S PRAIRIE ST
PRAIRIE DU CHIEN, WI 53821-1723
Phone number: 608-433-8493
Mailing Address
SHELLY PETERSON COTA
326 S PRAIRIE ST
PRAIRIE DU CHIEN, WI 53821-1723
Phone number: 608-433-8493