BENNET PETERSEN

KENOSHA, WI
NPI1700166295
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  6674-26)
Enumeration Date2011-08-28
Last Update Date2020-06-05
Business Address
BENNET PETERSEN MS, OTR/L
10222 74TH ST STE 211
KENOSHA, WI 53142-6810
Phone number: 262-925-5020
Mailing Address
BENNET PETERSEN MS, OTR/L
3921 30TH AVE STE C
KENOSHA, WI 53144-1957
Phone number: 262-925-5004
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