Individual
DR. ELIZABETH MARIE MORTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
W225N16711 CEDAR PARK CT, JACKSON, WI 53037-9222
(262) 677-1101
Mailing address
4320 N 142ND ST, BROOKFIELD, WI 53005-1142
(309) 360-4162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12680-24
WI
Other
Enumeration date
10/05/2014
Last updated
12/10/2024
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