Individual
JAMIE WOHLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1226 BERLIN ST, WAUPACA, WI 54981-1991
(715) 258-5521
Mailing address
E7644 COUNTY ROAD H, FREMONT, WI 54940-9745
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
518-19
WI
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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