Individual
MRS. JESSICA MARIE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
110 E 5TH AVE, DEPARTMENT OF PHYSICAL THERAPY, ANTIGO, WI 54409-2710
(715) 623-9449
(715) 623-9425
Mailing address
N3134 PARKWAY RD, ANTIGO, WI 54409-9117
(715) 610-8154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11077-24
WI
Other
Enumeration date
12/26/2008
Last updated
12/26/2008
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