Disrud, Judith Ann
Disrud, Judith Ann is an individual health care provider with primary practice located at 7710 S Brookline Dr , Madison WI 53719-3511. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Disrud, Judith Ann can be contacted via phone (608) 833-2017.Contact Information
Primary practice address
7710 S Brookline Dr
Madison WI 53719-3511
Phone: (608) 833-2017
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 1513-19 | Wisconsin |
Profile Details
| NPI number | 1184889412 |
|---|---|
| LBN Legal business name | Disrud, Judith Ann |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2008 |
| Last updated | May 11th, 2015 - about 10 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.
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