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Individual

JAMIE J SYLFEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
114 E GREEN TREE RD, CLINTONVILLE, WI 54929-1182
(715) 823-3336
(715) 823-3936
Mailing address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 257-2000
(920) 257-2004

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1709-019
WI

Other

Enumeration date
10/05/2010
Last updated
10/05/2010
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