Jackie Church II is a Physical Therapy Assistant based in Edgerton, WI. Jackie Church II practices in Edgerton, WI. The NPI Number for Jackie Church II is 1104029362 and holds a License No. 783-019 (Wisconsin).
The current practice location address for Jackie Church II is 313 Stoughton Rd, Edgerton, WI and can be reached out via phone at 608-884-1390.
Identifier | Type | State | Issuer |
---|---|---|---|
783-019 | 01 | WI | WISCONSIN LICENSE NUMBER |
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