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1295281491
JACOB THOMPSON
HUDSON, WI
NPI
1295281491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 13421-24)
Enumeration Date
2016-08-28
Last Update Date
2016-08-28
Business Address
-- JACOB THOMPSON PT
742 STERBENZ DR
HUDSON, WI 54016-8327
Phone number: 715-386-2128
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Mailing Address
-- JACOB THOMPSON PT
ST CROIX THERAPY, INC. 742 STERBENZ DRIVE
HUDSON, WI 54016
Phone number: 715-386-2128
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