Individual
MS. JUDITH M MEHLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1480
(608) 356-1446
Mailing address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1480
(608) 356-1446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3469024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40169100
—
WI
Enumeration date
01/02/2007
Last updated
07/26/2017
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