Individual
MRS. JESSICA J PODOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
224 N BRIDGE ST, SUITE B, CHIPPEWA FALLS, WI 54729-2405
(715) 723-4451
(715) 723-5712
Mailing address
224 N BRIDGE ST, SUITE B, CHIPPEWA FALLS, WI 54729-2405
(715) 723-4451
(715) 723-5712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6039-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40373700
—
WI
Enumeration date
08/22/2005
Last updated
11/04/2014
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