Individual
MS. JACLYN KAY WARSHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8010 W EVERGREEN RD, MEQUON, WI 53097-3010
(262) 512-1940
Mailing address
8010 W EVERGREEN RD, MEQUON, WI 53097-3010
(262) 512-1940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3464-024
WI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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