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Individual

ANGELA MARIE JIRACEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
W76N677 WAUWATOSA RD, CEDARBURG, WI 53012-1707
(262) 377-5060
Mailing address
W76N677 WAUWATOSA RD, CEDARBURG, WI 53012-1799
(262) 377-5060

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
823
WI

Other

Enumeration date
06/13/2019
Last updated
06/13/2019
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