Individual
MRS. JANA MARIE KIZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
717 E ALFRED ST, WEYAUWEGA, WI 54983-9024
(920) 867-3121
Mailing address
2450 MULBERRY CIR, WISCONSIN RAPIDS, WI 54494-7756
(715) 421-2727
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
578019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40398900
—
WI
Enumeration date
05/10/2007
Last updated
07/08/2007
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