Individual
MRS. ELIZABETH MARY ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3500
(608) 825-3598
Mailing address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3500
(608) 825-3598
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10030-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578570974
—
WI
Enumeration date
02/07/2008
Last updated
11/23/2020
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