Individual
ELLEN WORZALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11900 N PORT WASHINGTON RD, MEQUON, WI 53092-3400
(262) 988-8800
Mailing address
11900 N PORT WASHINGTON RD, MEQUON, WI 53092-3400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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