JAN LOUISE MUSSALLEM

MADISON, WI
NPI1053405522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  10702-024)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
-- JAN LOUISE MUSSALLEM
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Phone number: 608-662-0817
Mailing Address
-- JAN LOUISE MUSSALLEM
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Phone number:
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