Individual
STEPHANIE JEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
S77W12929 MCSHANE DR, MUSKEGO, WI 53150-4052
(414) 529-0100
Mailing address
7250 S 46TH ST, FRANKLIN, WI 53132-8795
(414) 531-4846
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1466-19
WI
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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