ELIZABETH MARIE MORTAG

ELM GROVE, WI
NPI1134522170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  12680-24)
Enumeration Date2014-10-05
Last Update Date2014-10-05
Business Address
Mrs. ELIZABETH MARIE MORTAG DPT
13105 WATERTOWN PLANK RD
ELM GROVE, WI 53122-2213
Phone number: 262-782-9850
Mailing Address
Mrs. ELIZABETH MARIE MORTAG DPT
18260 ASTOR DR APT 101
BROOKFIELD, WI 53045-5695
Phone number: 309-360-4162
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