Individual
MRS. JEAN MARIE PREKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2895 S MOORLAND RD, NEW BERLIN, WI 53151-3743
(262) 782-9015
(262) 782-9013
Mailing address
S85W17850 WOODS RD, MUSKEGO, WI 53150-9454
(262) 679-8998
(262) 679-6930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2048-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40058500
—
WI
Enumeration date
11/15/2006
Last updated
07/09/2007
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