Individual
JOCELYN STANISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1414 JEFFERSON ST, BARABOO, WI 53913-1503
(608) 356-8532
Mailing address
90 FIELDSTONE DR. APT 1209, WISCONSIN DELLS, WI 53965
(608) 356-8532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2110-19
WI
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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