Individual
MRS. JAN M BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5308 2ND AVE, PITTSVILLE, WI 54466
(715) 884-2333
(715) 884-2333
Mailing address
PO BOX 276, PITTSVILLE, WI 54466-0276
(715) 884-2333
(715) 884-2333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4058-024
WI
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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