Jenny Darice Capouch
NPI #1821271016 in Cottage Grove, Wisconsin
Provider Information
- NPI Number
- 1821271016
- Entity Type
- Individual
- Name
- Jenny Darice Capouch
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Dec 11, 2007
- Last Updated
- Dec 11, 2007
Practice Location
- Address
- 805 SAINT JOHN ST
- City
- Cottage Grove
- State
- Wisconsin
- ZIP Code
- 53527-8912
- Phone
- (608) 839-1316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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