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1134522170
ELIZABETH MARIE MORTAG
JACKSON, WI
NPI
1134522170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 12680-24)
Enumeration Date
2014-10-05
Last Update Date
2024-12-10
Business Address
Dr. ELIZABETH MARIE MORTAG DPT
W225N16711 CEDAR PARK CT
JACKSON, WI 53037-9222
Phone number: 262-677-1101
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Mailing Address
Dr. ELIZABETH MARIE MORTAG DPT
4320 N 142ND ST
BROOKFIELD, WI 53005-1142
Phone number: 309-360-4162
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