MRS. Diane D Jasperson

NPI #1295004240 in Baldwin, Wisconsin

Provider Information

NPI Number: 1295004240
Entity Type: Individual
Name: MRS. Diane D Jasperson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Dec 20, 2011
Last Updated: Dec 20, 2011

Practice Location

Address: 2231 US HIGHWAY 12
Address 2: SUITE 201
City: Baldwin
State: Wisconsin
ZIP Code: 54002-3269
Phone: (715) 684-5020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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