Individual
DR. JENNIFER B ALIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
597 KINGSWOOD AVE, FOND DU LAC, WI 54935-6399
(920) 238-3032
(920) 238-3048
Mailing address
645 ELM GROVE RD, APT 4, ELM GROVE, WI 53122-2545
(262) 492-9080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12075-24
WI
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/13/2012
Last updated
10/12/2016
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