Individual
JENNIFER D'URSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1249 W LIEBAU RD, MEQUON, WI 53092-3396
(262) 243-4161
(262) 243-4166
Mailing address
1249 W LIEBAU RD, MEQUON, WI 53092-3396
(262) 243-4161
(262) 243-4166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6090-024
WI
Other
Enumeration date
08/29/2016
Last updated
09/07/2023
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