Individual
JILL I. TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
114 E GREENTREE ROAD, CLINTONVILLE, WI 54929
(715) 823-3336
(715) 823-3936
Mailing address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 257-2000
(920) 257-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6168-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40479100
—
WI
Enumeration date
05/24/2006
Last updated
07/13/2007
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