Individual
ANNETTE C JEPPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
507 SOUTH MONROE ST, LANCASTER, WI 53813-2054
(608) 723-2113
Mailing address
507 SOUTH MONROE STREET,, GRANT REGIONAL HEALTH CENTER, LANCASTER, WI 53813-9306
(608) 723-2113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
119-019
WI
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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