Individual
MADISON ELSA ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
(608) 819-6394
Mailing address
5155 AURORA AVE APT 216, FITCHBURG, WI 53711-9132
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7240-27
WI
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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