Individual
JESSICA ANN GEISBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1451 CLEVELAND AVE, WAUKESHA, WI 53186-3876
(262) 547-2123
Mailing address
N64W24266 IVY AVE, SUSSEX, WI 53089-2950
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1568-19
WI
Other
Enumeration date
07/23/2017
Last updated
07/23/2017
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