Individual
KIM JAKUBOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
S77W12929 MCSHANE DR, MUSKEGO, WI 53150-4052
(414) 525-6517
Mailing address
W185S6710 JEWEL CREST DR, MUSKEGO, WI 53150-9645
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
253-19
WI
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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