Individual
JENNIFER LYNN STELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
316 E 14TH ST, KAUKAUNA, WI 54130-3304
(920) 766-6020
(920) 759-1937
Mailing address
316 E 14TH ST, KAUKAUNA, WI 54130-3304
(920) 766-6020
(920) 759-1937
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
146-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146-019
PHYSICAL THERAPIST ASSIST
WI
05
—
40281500
—
WI
Enumeration date
02/22/2007
Last updated
07/08/2007
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