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Individual

CASSANDRA JANE WILDENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
2400 E CAPITOL DR, APPLETON, WI 54911-8728
(920) 831-5050
(920) 735-7648
Mailing address
2400 E CAPITOL DR, APPLETON, WI 54911-8728
(920) 831-5050
(920) 735-7648

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10755-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36131200
WI
Enumeration date
05/03/2007
Last updated
07/26/2023
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