Individual
MRS. JENNIFER CAROLE POKORNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
316 NORTH MILWAUKEE STREET, SUITE 208, HERITAGE HEALTHGROUP, MILWAUKEE, WI 53202-5803
(888) 389-9031
Mailing address
5111 PLATEAU CT, WATERFORD, WI 53185-3375
(262) 514-2631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
316-019
WI
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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