Individual
EMILY SUSAN BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
126 S SEGOE RD, MADISON, WI 53705-4937
(845) 596-4838
(608) 646-7556
Mailing address
126 S SEGOE RD, MADISON, WI 53705-4937
(845) 596-4838
(608) 646-7556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
029293
NY
225100000X
Physical Therapist
Primary
12585-24
WI
Other
Enumeration date
04/11/2007
Last updated
10/23/2019
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