Individual
MR. JEREMY M WOLKENBREIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
900 RIDGE ST, STOUGHTON, WI 53589-1864
(608) 873-2292
Mailing address
900 RIDGE ST, STOUGHTON, WI 53589-1864
(608) 873-2292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10747024
WI
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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