Individual
MR. JEREMY VILS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1130 N WESTFIELD ST, OSHKOSH, WI 54902-3217
(920) 232-0128
Mailing address
1130 N WESTFIELD ST, OSHKOSH, WI 54902-3217
(920) 232-0128
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1591-019
WI
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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