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Individual

JENNIFER A BARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, PT,LAT

Contact information

Practice address
3200 WESTHILL DR STE 201, WAUSAU, WI 54401-4707
(715) 847-2382
(715) 847-2381
Mailing address
1405 KENWOOD DR STE B, WAUSAU, WI 54401-2949
(715) 841-0002
(715) 841-0003

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5808-024
WI
225100000X
Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5808-024
STATE LIC. NUMBER
WI
Enumeration date
11/01/2006
Last updated
01/03/2020
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