Most Relevant Information
Provider Data
| NPI Number: | 1003649773 |
| Provider Name: | ELIZABETH SHARRON REDDEMAN DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 16938-24 |
Most Important Dates
| Enumeration Date: | 08/20/2024 |
| Last Updated: | 08/20/2024 |
Provider Practice Location
2817 NEW PINERY RD
PORTAGE
WI
539019240
Practice Location Phone/Fax
| Phone: | 6087456290 |
| Fax: |
Provider Mailing Location
2817 NEW PINERY RD
PORTAGE
WI
539019240
Provider Mailing Phone/Fax
| Phone: | 6087456290 |
| Fax: |