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1629020540
KEVIN L PETERSON
MILWAUKEE, WI
NPI
1629020540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 5318024)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
Mr. KEVIN L PETERSON PT
2025 E NEWPORT AVE
MILWAUKEE, WI 53211-2906
Phone number: 414-961-4160
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Mailing Address
Mr. KEVIN L PETERSON PT
6901 N ARDARA AVE
GLENDALE, WI 53209-2910
Phone number: 414-940-4910
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