Individual
ELIZABETH JEAN TRUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17654-24
WI
225200000X
Physical Therapy Assistant
3196-19
WI
Other
Enumeration date
07/20/2021
Last updated
05/28/2026
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