JILL R WENTWORTH

GREEN BAY, WI
NPI1194973693
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  219-019)
Enumeration Date2008-09-09
Last Update Date2008-09-09
Business Address
-- JILL R WENTWORTH pta
1630 COMMANCHE AVE
GREEN BAY, WI 54313-6089
Phone number: 920-430-4750
Mailing Address
-- JILL R WENTWORTH pta
1630 COMMANCHE AVE
GREEN BAY, WI 54313-6089
Phone number: 920-430-4750
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