Individual
MRS. ELIZABETH HANNIBAL WILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
OPTIMUM THERAPIES, 517 E. CLAIREMONT. AVE., EAU CLAIRE, WI 54701
(715) 855-0408
Mailing address
1027 VIOLET AVE, EAU CLAIRE, WI 54701-7012
(715) 855-1316
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6102-024
WI
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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