Mrs Christine Jo Peterson, MPT | |
1800 New York Ave, Superior, WI 54880-2008 | |
(715) 394-5591 | |
Not Available |
Full Name | Mrs Christine Jo Peterson |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 30 Years |
Location | 1800 New York Ave, Superior, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932325172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4841-024 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Powerback Rehabilitation Llc | 2365359932 | 219 |
Provider Name | Powerback Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013498914 PECOS PAC ID: 2365359932 Enrollment ID: O20181204002105 |
Mailing Address | Practice Location Address |
---|---|
Mrs Christine Jo Peterson, MPT 2114 Hammond Ave, Superior, WI 54880-5038 Ph: (715) 394-9384 | Mrs Christine Jo Peterson, MPT 1800 New York Ave, Superior, WI 54880-2008 Ph: (715) 394-5591 |
Mr. Gregory Stephan Vergamini, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-395-5454 | |
Megan E. Liebaert, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-395-5400 | |
Dawn Moulton, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 N 25th St E, Superior, WI 54880 Phone: 763-689-5385 | |
Louanna Gayle C. Marohombsar, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1915 N 34th St, Superior, WI 54880 Phone: 715-399-3287 | |
Barbara Rose Ann Wessberg, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 218-395-5454 | |
Dr. Bobbi Marie-ann Huotari, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 New York Ave, Superior, WI 54880 Phone: 715-394-5591 | |
Dale Robert Whitby, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-395-5454 |