Individual
MRS. JILL M PETRYCZKIEWYCZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
13000 W BLUEMOUND RD, SUITE 300, ELM GROVE, WI 53122-2650
(414) 217-4438
Mailing address
4411 N 107TH ST, WAUWATOSA, WI 53225-4524
(414) 217-4438
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2506-024
WI
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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