Individual
JENNIFER BULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
21075 SWENSON DR, SUITE 600, WAUKESHA, WI 53186-2000
(262) 798-8646
(262) 798-8640
Mailing address
21075 SWENSON DR, SUITE 600, WAUKESHA, WI 53186-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11318-24
WI
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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