Individual
MS. JENNA MARIE KADLEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3916 N. INTERTECH COURT, APPLETON, WI 54913
(920) 733-7726
Mailing address
1010 S ONEIDA ST, APPLETON, WI 54915-7802
(920) 733-7726
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6158-024
WI
Other
Enumeration date
06/11/2007
Last updated
09/12/2007
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