Individual
MS. JAN M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4805 S MOORLAND RD, NEW BERLIN, WI 53151-7401
(262) 798-7200
Mailing address
3242 W KIMBERLY AVE, GREENFIELD, WI 53221-5662
(262) 798-7200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5150-24
WI
Other
Enumeration date
10/28/2010
Last updated
10/08/2025
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