Individual
MORGAN GRACE MRDUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1016 LAKESHORE DR, RICE LAKE, WI 54868-1225
(715) 234-9101
Mailing address
1016 LAKESHORE DR, RICE LAKE, WI 54868-1225
(715) 234-9101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4297-19
WI
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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