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Individual

JENNIFER USELMAN KLESTINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
411 PRAIRIE HEIGHTS DR, SUITE 101, VERONA, WI 53593-2238
(608) 848-6628
Mailing address
7335 ARCTIC FOX DR, MADISON, WI 53719-6223
(608) 848-7057

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
Q08782
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40430400
WI
Enumeration date
10/02/2006
Last updated
07/08/2007
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