Doctor Name: | JILL M WURM |
NPI Number: | 1356518062 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | 737-019 |
Business Practice Address: | 323 Black River Ave Westby, WI - 546671127 |
Business Phone Number: | 6086343747 |
Business Fax Number: | |
Mailing Address: | 4116 Riverview Dr, LA CROSSE |
State: | WI |
Postal Code: | 546012267 |
Phone Number: | 6087870401 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2008 |
NPI Last Update Date: | 05/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 737-019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |