Individual
MS. JESSICA ANN COONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1132 GILS WAY, CROSS PLAINS, WI 53528-8833
(608) 798-2362
Mailing address
1132 GILS WAY, CROSS PLAINS, WI 53528-8833
(608) 798-2362
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6190-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40480300
—
WI
Enumeration date
01/11/2007
Last updated
07/08/2007
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