Individual
JACQUELYN P PETROPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2500 N MAYFAIR RD, WAUWATOSA, WI 53226-1409
(414) 443-1269
(414) 443-1285
Mailing address
2500 N MAYFAIR RD, WAUWATOSA, WI 53226-1409
(414) 443-1269
(414) 443-1285
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
221
WI
Other
Enumeration date
01/26/2018
Last updated
11/06/2019
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