MRS. Jennifer Lynn Wallenberg, PT, DPT, PCS

NPI #1104121904 in Trenton, Illinois

Provider Information

NPI Number: 1104121904
Entity Type: Individual
Name: MRS. Jennifer Lynn Wallenberg, PT, DPT, PCS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT, PCS
Enumeration Date: Jan 26, 2011
Last Updated: Sep 20, 2024

Practice Location

Address: 127 W BROADWAY
City: Trenton
State: Illinois
ZIP Code: 62293-1305
Phone: (708) 465-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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