Joslyn Destree

NPI #1285114637 in Appleton, Wisconsin

Provider Information

NPI Number: 1285114637
Entity Type: Individual
Name: Joslyn Destree
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 15, 2018
Last Updated: Aug 15, 2018

Practice Location

Address: 3300 W BREWSTER ST
City: Appleton
State: Wisconsin
ZIP Code: 54914-6444
Phone: (920) 832-1657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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