Individual
JEAN SOPHIE DELFORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
400 MICHIGAN AVE, OCONTO, WI 54153-1764
(920) 834-7808
Mailing address
3009 N RIVER RD, OCONTO, WI 54153-9435
(920) 834-5893
(920) 834-5893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1258-024
WI
2251P0200X
Pediatric Physical Therapist
1258-024
WI
Other
Enumeration date
05/04/2008
Last updated
05/04/2008
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