Individual
JENNIFER JASTROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4033 123RD ST, CHIPPEWA FALLS, WI 54729-6756
(715) 831-0106
Mailing address
4033 123RD ST, CHIPPEWA FALLS, WI 54729-6756
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
747-019
WI
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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