Individual
MRS. MICHELE JEAN ELLINGSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
645 N CHURCH ST, ELKHORN, WI 53121-2204
(262) 741-5549
(262) 723-6753
Mailing address
645 N CHURCH ST, ELKHORN, WI 53121-2204
(262) 741-5549
(262) 780-0717
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3951026
WI
Other
Enumeration date
02/09/2006
Last updated
08/03/2021
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