Individual
JESSICA DOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 S MADISON ST, LANCASTER, WI 53813-2167
(608) 723-3119
Mailing address
236 E CHERRY ST, LANCASTER, WI 53813-1711
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3098
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3098
—
WI
Enumeration date
06/25/2021
Last updated
06/25/2021
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