Individual
MS. JENNIFER BREKKE FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
112 JEFFERSON ST, WEST UNION, IA 52175-1022
(563) 422-3811
Mailing address
112 JEFFERSON ST, WEST UNION, IA 52175-1022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004182
IA
225100000X
Physical Therapist
Primary
7588
MN
Other
Enumeration date
01/24/2008
Last updated
02/08/2008
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