Individual
MS. JOLYN RANAE BALDRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1550 MADISON AVE STE 102, FT ATKINSON, WI 53538
(920) 568-9739
(920) 568-9742
Mailing address
1419 GREENE ST, FT ATKINSON, WI 53538
(920) 568-8662
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9983024
WI
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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