Provider Demographics
NPI:1154790558
Name:ORZEHOSKIE, JILL (MPT)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:ORZEHOSKIE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:ORZEHOSKIE
Other - Last Name:JOYCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:1000 N OAK AVE DEPT LK4
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-5702
Mailing Address - Country:US
Mailing Address - Phone:715-387-5529
Mailing Address - Fax:715-389-7575
Practice Address - Street 1:1000 N OAK AVE DEPT LK4
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-5702
Practice Address - Country:US
Practice Address - Phone:715-387-5529
Practice Address - Fax:715-389-7575
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI225100000X
WI9811-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist