Individual
JACOB JOHN AGBUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13203 GLOBE DR STE 111, MT PLEASANT, WI 53177-1616
(262) 287-0090
Mailing address
N98W16431 CONCORD RD, GERMANTOWN, WI 53022-4906
(262) 370-5706
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WI
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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