Miss Mary Elaine Millarez Mabayag, PT | |
107 E Beckert Rd, St. Joseph Residence, New London, WI 54961-2509 | |
(920) 982-5354 | |
Not Available |
Full Name | Miss Mary Elaine Millarez Mabayag |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 107 E Beckert Rd, New London, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972730786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11184024 (Wisconsin) | Primary |
225100000X | Physical Therapist | 070.014844 (Illinois) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Miss Mary Elaine Millarez Mabayag, PT 611 E Pine St, Apt. 17, New London, WI 54961-1967 Ph: (773) 474-0858 | Miss Mary Elaine Millarez Mabayag, PT 107 E Beckert Rd, St. Joseph Residence, New London, WI 54961-2509 Ph: (920) 982-5354 |
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Ms. Julie Ziegler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 Fax: 920-531-2098 | |
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