Individual
JODY LYNN HULSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11004 W WISCONSIN AVE, WAUWATOSA, WI 53226-3714
(414) 259-1558
Mailing address
11004 W WISCONSIN AVE, WAUWATOSA, WI 53226-3714
(414) 259-1558
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
204-019
WI
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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