Peter John Jacques
Peter John Jacques provides Physical Therapist services in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
W4652 Glenn StAppleton, WI 54913-9563 Not confirmed with CMS for 13 years — call before visiting
Phone: (920) 540-8840
Fax: (866) 878-1996
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 3448024 (WI) |
|---|---|
| Customized Equipment (DME) | Taxonomy 332BC3200X |
Record details
| NPI number | 1952597486 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peter Jacques — Owner Ceo · (920) 540-8840 |
| Other names | Walking And Wheeling Llc |
| NPI enumerated | September 18, 2007 |
| Last updated in NPPES | January 30, 2013 |
| Mailing address | W4652 Glenn St, Appleton, WI 54913-9563 |
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-
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Theresa Ynez B Polistico, DPT
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Ann K Porretto-Loehrke, PT, DPT, CHT, COMT
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