Jan Louise Mussallem

NPI #1053405522 in Madison, Wisconsin

Provider Information

NPI Number: 1053405522
Entity Type: Individual
Name: Jan Louise Mussallem
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Oct 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 600 HIGHLAND AVE
Address 2: COMPLIANCE MAIL CODE 2433
City: Madison
State: Wisconsin
ZIP Code: 53792
Phone: (608) 662-0817

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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