Individual
ELIZABETH JANE MUELLENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1048 E COMMERCE BLVD, SLINGER, WI 53086-9326
(262) 644-6268
Mailing address
3972 ELAINES WAY, SLINGER, WI 53086-9631
(262) 644-4512
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5661
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40284500
—
WI
Enumeration date
05/21/2007
Last updated
12/13/2021
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