Individual
MRS. JULIE ANN WISSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
2600 WARD AVE, LA CROSSE, WI 54601-7424
(608) 787-8200
Mailing address
2257 EVENSON DR, ONALASKA, WI 54650-8776
(608) 779-5145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
102455
MO
225100000X
Physical Therapist
2305006020
VA
225100000X
Physical Therapist
Primary
9629-024
WI
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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