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Individual

MS. JENNIFER LYNN OBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
N496 MILKY WAY, APPLETON, WI 54915-3993
(920) 738-2960
Mailing address
N496 MILKY WAY, APPLETON, WI 54915-3993
(920) 738-2000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16076
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100216450
WI
Enumeration date
09/27/2022
Last updated
06/18/2025
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