Individual
JASON G SCHOMBURG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5320 MICHAELS DR, APPLETON, WI 54913-8446
(920) 882-8200
(920) 882-8210
Mailing address
5320 MICHAELS DR, APPLETON, WI 54913-8446
(920) 882-8200
(920) 882-8210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6544-024
WI
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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