Individual
JENNIFER MARIE KUNDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 CHURCHILL ST, WAUPACA, WI 54981-2027
(715) 258-8131
Mailing address
1200 N LAWE ST, APPLETON, WI 54911-4838
(920) 268-9640
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2515
WI
225200000X
Physical Therapy Assistant
A4810
MD
Other
Enumeration date
06/15/2017
Last updated
03/11/2019
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