Individual
JEANNE C KISSANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
W133N6470 CRESTWOOD DR, MENOMONEE FALLS, WI 53051-6094
(262) 252-3083
Mailing address
W133N6470 CRESTWOOD DR, MENOMONEE FALLS, WI 53051-6094
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1269
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40023200
—
WI
Enumeration date
07/09/2006
Last updated
07/08/2007
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