Individual
JODIE LEE POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
990 JANESVILLE ST, OREGON, WI 53575-2954
(608) 835-5373
(608) 835-0373
Mailing address
990 JANESVILLE ST, OREGON, WI 53575-2954
(608) 835-5373
(608) 835-0373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3472-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36119800
—
WI
Enumeration date
04/08/2008
Last updated
04/08/2008
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