Individual
JAMIE LYNN HALLEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
645 N CHURCH ST, ELKHORN, WI 53121-2204
(262) 741-5577
Mailing address
1510 JILLS DR, WAUKESHA, WI 53186-6809
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14046-24
WI
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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