Individual
JILL OOSTDYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 COUNTY ROAD R, BLACK RIVER FALLS, WI 54615-5129
(715) 284-5396
Mailing address
200 MILL ST, MELROSE, WI 54642-8256
(715) 416-3015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1700-019
WI
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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