| Doctor Name: | JENELLE BERCE |
| NPI Number: | 1275887879 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 12191-24 |
| Business Practice Address: | 8700 Durand Ave Suite 300 Sturtevant, WI - 531772096 |
| Business Phone Number: | 2628982480 |
| Business Fax Number: | 8662458064 |
| Mailing Address: | Po Box 3497, STURTEVANT |
| State: | WI |
| Postal Code: | 531770300 |
| Phone Number: | 8882011040 |
| Fax Number: | 8662458064 |
| NPI Enumeration Date: | 11/04/2012 |
| NPI Last Update Date: | 04/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 12191-24 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |