Individual
JOAN E ZACHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 ATKINSON ST, UNIT 2, MUKWONAGO, WI 53149-1439
(262) 363-3268
(262) 363-3269
Mailing address
111 ATKINSON ST, UNIT 2, MUKWONAGO, WI 53149-1439
(262) 363-3268
(262) 363-3269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2926
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40457800
—
WI
Enumeration date
10/12/2006
Last updated
05/13/2013
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