Individual
JESSICA DIPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10590 N PORT WASHINGTON RD, MEQUON, WI 53092-5537
(262) 375-1075
Mailing address
144 EDMARO ST, FREDONIA, WI 53021-9413
(262) 357-1396
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4332-19
WI
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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