Individual
MICHELLE JENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
W175N11117 STONEWOOD DR, SUITE 100, GERMANTOWN, WI 53022-6508
(262) 293-3951
Mailing address
N427 IRISH RD, NEW HOLSTEIN, WI 53061-9551
(920) 286-1633
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
573-19
WI
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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