Individual
JESSICA O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8700 W WISCONSIN AVE, MILWAUKEE, WI 53226-3512
(414) 805-6677
Mailing address
3664 E ELM RD, OAK CREEK, WI 53154-6616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20391-24
WI
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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