Jill Melissa Paque, MPT
NPI #1902079288 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1902079288
- Entity Type
- Individual
- Name
- Jill Melissa Paque, MPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- MPT
- Enumeration Date
- Apr 8, 2008
- Last Updated
- Oct 25, 2016
Practice Location
- Address
- 5700 W LAYTON AVE
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53220-4016
- Phone
- (414) 281-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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