Individual
JESSICA LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6171
Mailing address
202 S PARK, MADSION, WI 53715
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1824-19
WI
Other
Enumeration date
03/15/2012
Last updated
08/16/2017
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