Individual
JESSE ZANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 2ND AVE, NEW GLARUS, WI 53574-9776
(608) 527-4390
Mailing address
3595 COUNTY ROAD K, BARNEVELD, WI 53507-9797
(608) 317-9820
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2885-19
WI
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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