Individual
EMILY KOMOROSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5330 CENTURY AVE, MIDDLETON, WI 53562-2007
(608) 203-8880
(608) 203-8881
Mailing address
5330 CENTURY AVE, MIDDLETON, WI 53562-2007
(608) 203-8880
(608) 203-8881
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11826-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100026609
—
WI
Enumeration date
07/30/2012
Last updated
10/15/2015
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