Individual
JENNIFER KAY GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1486 WEST MEQUON RD, MEQUON, WI 53092
(262) 241-8030
(262) 241-8304
Mailing address
W64N332 MADISON AVE, CEDARBURG, WI 53012-2331
(608) 469-4231
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
10563-024
WI
Other
Enumeration date
02/02/2007
Last updated
03/09/2009
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