Individual
MEREDITH JEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1486 W MEQUON RD, MEQUON, WI 53092-3268
(262) 385-5003
Mailing address
11639 N HILLSIDE LN, MEQUON, WI 53092-2947
(262) 385-5003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14775-24
WI
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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