Individual
ABBY MERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8800 HWY 61, LANCASTER, WI 53813-9306
(608) 723-2113
Mailing address
10290 STATE ROAD 133, BLOOMINGTON, WI 53804-9723
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2470-19
WI
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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