Doctor Name: | JEAN SOPHIE DELFORGE |
NPI Number: | 1427224047 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1258-024 |
Business Practice Address: | 400 Michigan Ave Oconto, WI - 541531764 |
Business Phone Number: | 9208347808 |
Business Fax Number: | |
Mailing Address: | 3009 N River Rd, OCONTO |
State: | WI |
Postal Code: | 541539435 |
Phone Number: | 9208345893 |
Fax Number: | 9208345893 |
NPI Enumeration Date: | 05/04/2008 |
NPI Last Update Date: | 05/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 1258-024 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |