Individual
MS. JENNIFER GANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
10 TRI-PARK WAY, APPLETON, WI 54914
(920) 831-0070
Mailing address
10 TRI-PARK WAY, APPLETON, WI 54914
(920) 831-0070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4455024
WI
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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