Individual
JENNIFER OAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 GRANT AVE, OMRO, WI 54963-1342
(920) 685-2755
Mailing address
N1719 WILLIAM DR, WAUPACA, WI 54981-9787
(715) 412-2185
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3124
WI
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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