Individual
DR. JESSICA MARLENE OAKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1125 N 13TH ST, SHEBOYGAN, WI 53081-3281
(920) 803-1617
(920) 803-1622
Mailing address
1125 N 13TH ST, SHEBOYGAN, WI 53081-3281
(920) 803-1617
(920) 803-1622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12743-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100043270
—
WI
05
—
41813000
—
WI
Enumeration date
06/16/2014
Last updated
10/10/2022
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