Individual
MRS. JENNIFER ANN DUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, LMT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10114-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40471400
—
WI
Enumeration date
06/27/2008
Last updated
01/20/2021
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