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1770011256
JESSICA L BURKETT
GREEN BAY, WI
NPI
1770011256
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Former Name
JESSICA L WIEGERT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 13814-24)
Enumeration Date
2017-05-30
Last Update Date
2022-04-08
Business Address
JESSICA L BURKETT D-PT
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4700
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Mailing Address
JESSICA L BURKETT D-PT
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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