Individual
JENNIFER ANN MONTEMURRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
9809 39TH AVE STE 2, PLEASANT PRAIRIE, WI 53158-3733
(262) 925-5080
(262) 925-5081
Mailing address
600 52ND ST, SUITE 240, KENOSHA, WI 53140-3423
(262) 925-5000
(262) 925-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070012680
IL
225100000X
Physical Therapist
Primary
6076024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10759485
CAQH
—
05
—
40335300
—
WI
Enumeration date
07/07/2006
Last updated
09/11/2018
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