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General NPI Number Information
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NPI Number | 1023680303
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Entity Type | Individual
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Provider Name | JESSICA ANN THORPE PT
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Gender | Female
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 555 REDBIRD CIR STE 300
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City | DE PERE
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State | WI
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Zip | 54115-7980
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Country | US
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Telephone | 920-338-6870
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Fax |
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Provider Business Mailing Address
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Address Line | 807 COUNTY ROAD U APT H
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City | WRIGHTSTOWN
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State | WI
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Zip | 54180-9618
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Country | US
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Telephone | 610-505-0803
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT029533
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 17425-24
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License Number State | WI
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