Most Relevant Information
Provider Data
| NPI Number: | 1003598111 |
| Provider Name: | MELANIE ROSE PETERS OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 7239-26 |
Most Important Dates
| Enumeration Date: | 08/07/2023 |
| Last Updated: | 08/07/2023 |
Provider Practice Location
1308 LINCOLN ST
KEWAUNEE
WI
542161606
Practice Location Phone/Fax
| Phone: | 9203884111 |
| Fax: |
Provider Mailing Location
1308 LINCOLN ST
KEWAUNEE
WI
542161606
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |