Individual
JENNIFER L GOLDBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
W63N541 HANOVER AVE, CEDARBURG, WI 53012-1917
(262) 375-2195
(262) 375-2273
Mailing address
W63N541 HANOVER AVE, CEDARBURG, WI 53012-1917
(262) 375-2195
(262) 375-2273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5201-024
WI
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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