Individual
JENNIFER SCHLICHTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3151 COUNTY ROAD CH, DODGEVILLE, WI 53533-9108
(608) 935-0194
Mailing address
164 N MAIN ST, POTOSI, WI 53820-9403
(608) 732-2933
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
075842
IA
225200000X
Physical Therapy Assistant
Primary
2017-19
WI
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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