Kim E Javens, PTA

NPI #1881763308 in Oneida, Wisconsin

Provider Information

NPI Number: 1881763308
Entity Type: Individual
Name: Kim E Javens, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 525 AIRPORT DR
City: Oneida
State: Wisconsin
ZIP Code: 54155-9035
Phone: (920) 869-2711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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