Individual
JESSICA ROSE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3360 GATEWAY RD STE 100, BROOKFIELD, WI 53045-5115
(262) 923-7101
Mailing address
N1362 IRISH RD, NEW HOLSTEIN, WI 53061-9506
(920) 418-4265
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3001-19
WI
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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