Individual
MAIRLYN JEMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 N 92ND ST, MILWAUKEE, WI 53226-3533
(414) 479-9218
(414) 479-9227
Mailing address
3217A N 12TH ST, MILWAUKEE, WI 53206-2755
(414) 263-2606
(414) 479-9227
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
468-019
WI
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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