Individual
JENNIFER L. ST. LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-3100
Mailing address
PO BOX 2759, APPLETON, WI 54912-2759
(920) 729-3100
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5184-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40400500
—
WI
Enumeration date
08/16/2006
Last updated
04/16/2008
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