Individual
JESSICA MAE STOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
(715) 220-9696
Mailing address
PO BOX 246, 3362 140TH ST, FREDERIC, WI 54837-0246
(715) 220-9696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12933-24
WI
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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