Individual
ERIKA EIESLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
902 S WELLS ST, LAKE GENEVA, WI 53147-2422
(262) 249-1915
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070026784
IL
225100000X
Physical Therapist
Primary
17027-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070026784
IL PT LICENSE
IL
Enumeration date
03/07/2022
Last updated
01/27/2025
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