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Individual

MRS. JILL ANNETTE REUTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2111 W OAKWOOD RD, OAK CREEK, WI 53154-5537
(414) 758-3221
Mailing address
2111 W OAKWOOD RD, OAK CREEK, WI 53154-5537
(414) 758-3221

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
876-19
WI

Other

Enumeration date
08/23/2011
Last updated
08/23/2011
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