Individual
JANE HUIZENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19525 W NORTH AVE, BROOKFIELD, WI 53045-4107
(262) 780-3813
Mailing address
13855 KEEFE AVE, BROOKFIELD, WI 53005-3361
(262) 781-9167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4361-24
WI
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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