Organization
DEVELOPMENTAL STEPS BY FONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL FONS (MANAGER)
(608) 743-0741
Entity
Organization
Contact information
Practice address
4102 FOXWOOD CT, JANESVILLE, WI 53546-8887
(608) 743-0741
Mailing address
4102 FOXWOOD CT, JANESVILLE, WI 53546-8887
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4441024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40425500
—
WI
Enumeration date
05/05/2008
Last updated
05/05/2008
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