Dautermann, Debra L
Dautermann, Debra L is an individual health care provider with primary practice located at 1190 E Paradise Dr , West Bend WI 53095-5444. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dautermann, Debra L can be contacted via phone (262) 306-6319.Contact Information
Primary practice address
1190 E Paradise Dr
West Bend WI 53095-5444
Phone: (262) 306-6319
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4098 | Wisconsin |
Profile Details
| NPI number | 1093899411 |
|---|---|
| LBN Legal business name | Dautermann, Debra L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093899411 | NPPES |
| Wisconsin | MEDICAID | 40319800 |
Popular Providers
-
Semrau, Kathryn
5595 County Road Z , West Bend WI 53095-9224 -
Steddick, Tina M
1190 E Paradise Dr , West Bend WI 53095-5444 -
Everts, Jamie L
1100 Gateway Ct , West Bend WI 53095 -
Bodien, Joanne
5595 County Road Z , West Bend WI 53095-9224 -
Schmidt, Becky Jo
5595 County Rd Z , West Bend WI 53095 -
Biesterfeld, Todd Michael
1105 Shepherds Dr , West Bend WI 53090-8462 -
Pieper, Mark K
1100 Gateway Court , West Bend WI 53095 -
Rudroff, Holley
5595 County Road Z , West Bend WI 53095-9224