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1316286511
ELISSA SUSAN EWAN
WAUSAU, WI
NPI
1316286511
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Former Name
ELISSA BENTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 12167-24)
Enumeration Date
2013-02-07
Last Update Date
2024-03-14
Business Address
ELISSA SUSAN EWAN DPT
3901 STEWART AVE
WAUSAU, WI 54401-3948
Phone number: 715-841-0002
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Mailing Address
ELISSA SUSAN EWAN DPT
3901 STEWART AVE
WAUSAU, WI 54401-3948
Phone number: 715-907-0900
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