Individual
JENNELLE HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 S HOLMEN DR STE 2, HOLMEN, WI 54636-9468
(608) 526-9888
Mailing address
106 S HOLMEN DR STE 2, HOLMEN, WI 54636-9468
(608) 526-9888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14522-24
WI
Other
Enumeration date
02/27/2019
Last updated
09/19/2019
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