Individual
MRS. JILLIANN NELESSEN PRUETTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 298-6700
Mailing address
2414 SPRINGDALE RD, # 103, WAUKESHA, WI 53186-2779
(920) 427-1354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10556-024
WI
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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