Individual
MRS. JESSICA LYNN ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1040 PILGRIM WAY, GREEN BAY, WI 54304-5028
(192) 040-5352
Mailing address
2453 BASSWOOD ST, GREEN BAY, WI 54313-5707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1497-19
WI
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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