Individual
MRS. JILL MARGARET EGBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5534
Mailing address
PO BOX 26, GREEN LAKE, WI 54941-0026
(920) 294-0189
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
137-019
WI
Other
Enumeration date
07/30/2007
Last updated
08/13/2007
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