Individual
JOSE CRESPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 N MILWAUKEE ST, WATERFORD, WI 53185-4432
(262) 514-2700
(262) 514-3003
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12810-24
WI
Other
Enumeration date
10/20/2014
Last updated
03/21/2016
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