Jane Detert PTA
Physical Therapy Assistant in Wausau, WI(View on Map)
Full Name
Jane Detert PTA
NPI Number
1396708590
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/10/2006
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
788
Contact
Information
Purpose
Mailing
Location
Address
333 PINE RIDGE BLVD
333 PINE RIDGE BLVD
City
Wausau
Wausau
State
WI
WI
Postal Code
54401-4120
54401-4120
Country
US
US
Telephone Number
(715) 847-2826
(715) 847-2826
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007