Individual
JOLYN GUNDLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
N22W27847 EDGEWATER DR, PEWAUKEE, WI 53072
(262) 264-0080
Mailing address
N22W27847 EDGEWATER DR, PEWAUKEE, WI 53072-5260
(262) 264-0080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12579-24
WI
Other
Enumeration date
12/09/2013
Last updated
07/31/2018
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