JEROME ROBERT ZIEMENDORF

MILWAUKEE, WI
NPI1457697039
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  726-19)
Enumeration Date2012-12-30
Last Update Date2012-12-30
Business Address
Mr. JEROME ROBERT ZIEMENDORF PTA
6263 N GREEN BAY AVE
MILWAUKEE, WI 53209-3823
Phone number: 414-351-0543
Mailing Address
Mr. JEROME ROBERT ZIEMENDORF PTA
10519 W SUNSET WOODS LN
MEQUON, WI 53097-2907
Phone number: 262-242-3445
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