Individual
KATHRYN ANN JAFFRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 925-1480
(262) 925-1499
Mailing address
1020 35TH ST STE 110, KENOSHA, WI 53140-1932
(262) 925-1480
(262) 925-1499
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2667-19
WI
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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