Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JAN M BROCKMAN, PT
ActiveMRS. JAN M BROCKMAN, PT is a Physical Therapy Assistant healthcare provider located in PITTSVILLE, Wisconsin. NPI 1497780472 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PITTSVILLE, WI
Registration Details
- NPI Number
- 1497780472
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2006 (20.117131005721 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4058-024 (WI)
Practice Information
- Address
-
5308 2ND AVEPITTSVILLE, WI, 54466Browse WI providers · Browse ZIP 54466
- Phone
- 7158842333
- Fax
- 7158842333
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.