Individual
JESSICA L READ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12500 AURORA DR, PLEASANT PRAIRIE, WI 53158
(262) 854-5000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13577-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100062027
—
WI
Enumeration date
08/15/2016
Last updated
07/15/2022
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