Individual
DR. JESSICA ANN WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, CLT
Contact information
Practice address
1506 S ONEIDA ST, ST. ELIZABETH HOSPITAL, APPLETON, WI 54915
(920) 882-2412
Mailing address
1550 MIDWAY PL, MENASHA, WI 54952-1165
(920) 882-2412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11279-024
WI
Other
Enumeration date
08/05/2009
Last updated
03/13/2014
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