JAY WILES

STURGEON BAY, WI
NPI1245676352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1940-19)
Enumeration Date2013-05-15
Last Update Date2013-05-15
Business Address
-- JAY WILES PTA
200 N 7TH AVE
STURGEON BAY, WI 54235-1708
Phone number: 920-743-5274
Mailing Address
-- JAY WILES PTA
3364 S WILLOW RD
STURGEON BAY, WI 54235-8695
Phone number: 712-635-5230
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