Individual
JADE NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-6640
Mailing address
2328 W KENDALL AVE, GLENDALE, WI 53209-4321
(262) 442-9597
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2277-19
WI
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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