Most Relevant Information
Provider Data
| NPI Number: | 1003423690 |
| Provider Name: | BREANNA MARIE PETERS DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 15089-24 |
Most Important Dates
| Enumeration Date: | 09/28/2020 |
| Last Updated: | 08/28/2024 |
Provider Practice Location
1660 HOFFMAN RD
GREEN BAY
WI
543116299
Practice Location Phone/Fax
| Phone: | 9203518725 |
| Fax: |
Provider Mailing Location
1660 HOFFMAN RD
GREEN BAY
WI
543116299
Provider Mailing Phone/Fax
| Phone: | 9206800915 |
| Fax: |