Individual
JOSE DAVID DELGADILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10101 W WISCONSIN AVE, MILWAUKEE, WI 53226-4861
(414) 259-6310
Mailing address
9075 W SURA LN UNIT 119, GREENFIELD, WI 53228-3525
(414) 238-5125
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4063-19
WI
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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