Individual
JESSICA L CHOUINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-8667
(920) 320-8616
Mailing address
2300 WESTERN AVE, PO BOX 2170, MANITOWOC, WI 54220-3712
(920) 320-8667
(920) 320-8616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11282-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41220000
—
WI
Enumeration date
07/08/2009
Last updated
07/08/2009
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