Individual
JEAN LUCILLE NOTHNAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, COMPLIANCE MAIL CODE-2433, MADISON, WI 53792-0001
(608) 662-0817
Mailing address
1306 MENOMONIE LN, MADISON, WI 53704-1040
(608) 241-0223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2554-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2554-24
PT
WI
Enumeration date
07/16/2006
Last updated
07/08/2007
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