MRS. Jill M Petryczkiewycz, PHYSICAL THERAPIST

NPI #1164602587 in Elm Grove, Wisconsin

Provider Information

NPI Number: 1164602587
Entity Type: Individual
Name: MRS. Jill M Petryczkiewycz, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Nov 14, 2007
Last Updated: Nov 14, 2007

Practice Location

Address: 13000 W BLUEMOUND RD
Address 2: SUITE 300
City: Elm Grove
State: Wisconsin
ZIP Code: 53122-2650
Phone: (414) 217-4438

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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