Individual
JESSICA MERCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2801 S WEBSTER AVE, GREEN BAY, WI 54301-2878
(920) 337-1122
(920) 337-9811
Mailing address
2801 S WEBSTER AVE, GREEN BAY, WI 54301-2878
(920) 337-1122
(920) 337-9811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11956-24
WI
Other
Enumeration date
08/09/2012
Last updated
01/04/2018
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