Individual
JENNILEE JEAN LUNSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 PIONEER DR, BELOIT, WI 53511-3025
(608) 365-9526
Mailing address
4025 CASTLEMOOR DR, JANESVILLE, WI 53546-9396
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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