IndividualActive
Andrea Peterson
NPI 1174257752 · Physical Therapy Assistant · Manitowoc, WI
Provider details
- NPI number
- 1174257752
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 3162-19 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1111 Bayshore Dr
Manitowoc, WI 54220-5548
Phone: (920) 793-7570
Approximate (ZIP-level) locationGet directions
Mailing address
1111 Bayshore Dr
Manitowoc, WI 54220-5548
Registry dates
- Enumerated
- 2022-07-11
- Last updated
- 2022-07-11
- Certified
- 2022-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.