Jeremy Vils PTA

NPI 1033423983 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1033423983
Gender Male
Enumeration Date 08/03/2010
Last Updated 08/03/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
1130 N WESTFIELD ST
OSHKOSH WI, 54902-3217, US
Phone (920) 232-0128
Fax
Business Location
1130 N WESTFIELD ST
OSHKOSH WI, 54902-3217, US
Phone (920) 232-0128
Fax
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 1591-019
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According to our database, Mr. Jeremy Vils PTA NPI is 1033423983, taxonomy code is 225200000X and license number is 1591-019, license state is located at Wisconsin. Jeremy Vils PTA physically located at 1130 N Westfield St, Oshkosh WI, 54902-3217. NPI Number Jeremy Vils PTA has the Individual type.

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1033423983 NPI number is provided on an as is basis without warranty of any kind. 1033423983 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremy Vils PTA are for informational purposes only.