JENNIFER LYNN BALTHAZOR

GREEN BAY, WI
NPI1093981623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  4842-24)
Enumeration Date2008-05-04
Last Update Date2008-05-04
Business Address
-- JENNIFER LYNN BALTHAZOR p.t.
2919 SHELTER CREEK CT
GREEN BAY, WI 54313-4549
Phone number: 920-429-0921
Mailing Address
-- JENNIFER LYNN BALTHAZOR p.t.
2919 SHELTER CREEK CT
GREEN BAY, WI 54313-4549
Phone number: 920-429-0921
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