Individual
JENNIFER LYNNE GUDAKUNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11080 E GYPSY LANE RD, BOWLING GREEN, OH 43402-9564
(419) 353-8411
(419) 352-9403
Mailing address
6527 HOLCOMB RD, PEMBERVILLE, OH 43450-9440
(419) 287-0006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.009717
OH
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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