Individual
JENNIFER BUNGARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W4730 COUNTY ROAD B, WEST SALEM, WI 54669-9104
(715) 651-0407
Mailing address
W4730 COUNTY ROAD B, WEST SALEM, WI 54669-9104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1488-19
WI
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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