Individual
JESSICA LEIGH JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3111 GUNDERSEN DR, MAILSTOP: NC1-002, ONALASKA, WI 54650-8447
(218) 230-4797
Mailing address
3111 GUNDERSEN DR, MAILSTOP: NC1-002, ONALASKA, WI 54650-8447
(218) 230-4797
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1106-039
WI
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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