Individual
JENNIFER KUNBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3840 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 483-2422
Mailing address
5500 S SHORE DR, APT 107, CHICAGO, IL 60637-1965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009245A
IN
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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