Individual
JAN A VLASAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7300 WASHINGTON AVE, SUITE B, RACINE, WI 53406-3821
(262) 321-6000
Mailing address
7300 WASHINGTON AVE, SUITE B, RACINE, WI 53406-3821
(262) 321-6000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6256
WI
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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