Individual
JENNIFER LEE PAULSEN-KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
89 CEDAR AVE, LAKE VILLA, IL 60046-8411
(847) 265-7300
(847) 265-7301
Mailing address
7230 51ST AVE, KENOSHA, WI 53142-3718
(262) 705-3590
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
8714
AZ
Other
Enumeration date
11/04/2009
Last updated
10/11/2011
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