Individual
JASON ALAN TEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 OVERLOOK TERRACE, MADISON, WI 53705
(608) 280-7036
Mailing address
W6449 E. OAK STREET, DALTON, WI 53926
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
397019
WI
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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