Individual
MR. JEFFREY G KOMAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
106 S HOLMEN DR, SUITE 2, HOLMEN, WI 54636-9467
(608) 526-9888
Mailing address
106 S HOLMEN DR, SUITE 2, HOLMEN, WI 54636-9467
(608) 526-9888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1009-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40387800
—
WI
Enumeration date
03/28/2008
Last updated
03/28/2008
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