Individual
JENNA LAMAY MAGSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 N WESTFIELD ST, OSHKOSH, WI 54902-3217
(928) 233-2340
Mailing address
2825 WOODLANE DR, WOODBURY, MN 55125-2906
(651) 202-0222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2650-19
WI
Other
Enumeration date
09/26/2017
Last updated
08/26/2023
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