Individual
MARY EHRHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14345 COUNTY HIGHWAY B, SPARTA, WI 54656-4509
(608) 269-8825
Mailing address
106 S HOLMEN DR, HOLMEN, WI 54636-9467
(608) 526-9888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2616-19
WI
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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