Individual
MRS. JOLENE DENISE SINGLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
N4071 COUNTY ROAD NN, ELKHORN, WI 53121-4415
(414) 640-2977
Mailing address
N4071 COUNTY ROAD NN, ELKHORN, WI 53121-4415
(414) 640-2977
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1444-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36147700
—
WI
Enumeration date
05/07/2008
Last updated
10/18/2012
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