Individual
JESSICA WASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
942 CLOVER ST, LAKE GENEVA, WI 53147-1014
(262) 903-1138
Mailing address
942 CLOVER STREET, LAKE GENEVA, WI 53147
(262) 903-1138
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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