Individual
DR. ELLE JOHANNA VANTILBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3414 MAPLE GROVE DR, MADISON, WI 53719-5619
(608) 845-1000
Mailing address
3414 MAPLE GROVE DR, MADISON, WI 53719-5619
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16312-24
WI
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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