Petersen, Cheryl M

Petersen, Cheryl M is an sole proprietor health care provider with primary practice located at 1085 Niagara Ln , Port Washington WI 53074-1766. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Petersen, Cheryl M can be contacted via phone (262) 268-7260.

Contact Information

Primary practice address
1085 Niagara Ln Port Washington WI 53074-1766
Phone: (262) 268-7260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9865-024 Wisconsin

Profile Details

NPI number 1467471102
LBN Legal business name Petersen, Cheryl M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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