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Individual

JAMES L JANUARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
15954 RIVERS EDGE DR, HAYWARD, WI 54843-7800
(715) 387-5511
Mailing address
12271 N MURPHY BLVD, HAYWARD, WI 54843-6005
(715) 462-9914

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3670
WI

Other

Enumeration date
07/03/2006
Last updated
06/12/2023
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