Individual
MR. JARED MATTHEW DUBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
400 DERONDA ST, AMERY, WI 54001-1404
(715) 268-8171
Mailing address
2894 GREEN VIEW DR, EAU CLAIRE, WI 54703-0621
(715) 820-3134
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WI
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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