Individual
JILL URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4805 S MOORLAND RD, NEW BERLIN, WI 53151-7401
(262) 798-7200
Mailing address
W272N7334 DENTONS RUN, SUSSEX, WI 53089-1880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9677
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40422100
—
WI
Enumeration date
04/19/2006
Last updated
12/19/2024
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