Individual ProviderJennifer SitzmanPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1040 Pilgrim Way, Green Bay, WI 54304(920) 405-3522PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Sitzman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1194022731Provider TypeIndividualFull NameSitzman, JenniferCredentialPTAGenderFemaleSole ProprietorNoEnumeration Date2/17/2011Last Updated3/19/2012Contact InformationPractice LocationPractice Address1040 Pilgrim Way, Green Bay, WI 54304Phone(920) 405-3522FaxUnlisted FaxMailing LocationMailing Address1040 Pilgrim Way, Green Bay, WI 54304PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225200000XPrimaryDescriptionPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1693-019Wisconsin