Individual
DR. JACQUELINE NDIENTIEN NCHINDA-PUNGONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSC-PT, MSC, DPT
Contact information
Practice address
3601 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3708
(414) 764-4100
Mailing address
10137 S WINDSOR DR, OAK CREEK, WI 53154-5580
(414) 762-8514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5651
WI
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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