IndividualActive
Jennifer Gunderson, PT
NPI 1508904376 · Pediatric Physical Therapist · Mequon, WI
Provider details
- NPI number
- 1508904376
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 10563-024 (WI)
Practice location
1486 West Mequon Rd
Mequon, WI 53092
Phone: (262) 241-8030
Fax: (262) 241-8304
Mailing address
W64n332 Madison Ave
Cedarburg, WI 53012-2331
Registry dates
- Enumerated
- 2007-02-02
- Last updated
- 2009-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.