JILL WALLACE

WAUKESHA, WI
NPI1104883099
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  10232)
Enumeration Date2006-04-26
Last Update Date2012-01-18
Business Address
JILL WALLACE PT
W239N1812 ROCKWOOD DR STE 100 PHCMA INC.
WAUKESHA, WI 53188-1113
Phone number: 262-523-0310
Mailing Address
JILL WALLACE PT
W239N1812 ROCKWOOD DR STE 100 PHCMA INC.
WAUKESHA, WI 53188-1113
Phone number: 262-523-0310