Individual
JACQUELINE J. IGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 223-0407
Mailing address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 223-0407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2774-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36124900
—
WI
Enumeration date
05/10/2007
Last updated
07/11/2007
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