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Individual

ELIZABETH JEAN TRUDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2915 N MEADE ST, APPLETON, WI 54911-1509
(920) 993-6800
Mailing address
1218 PARTRIDGE RD, DE PERE, WI 54115-9652
(920) 944-4998

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
05/02/2026
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