Individual
MRS. DIANE D JASPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2231 US HIGHWAY 12, SUITE 201, BALDWIN, WI 54002-3269
(715) 684-5020
Mailing address
1106 COUNTY ROAD A, DEER PARK, WI 54007-4106
(715) 497-0901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2151
MN
225100000X
Physical Therapist
Primary
2488-024
WI
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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