Doctor Name: | CAROL DUSOLD |
NPI Number: | 1033195706 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 4588 |
Business Practice Address: | 2410 Milwaukee St Ste A Delafield, WI - 530182014 |
Business Phone Number: | 2626464860 |
Business Fax Number: | 2626464869 |
Mailing Address: | 21075 Swenson Dr, Ste 600 WAUKESHA |
State: | WI |
Postal Code: | 531862000 |
Phone Number: | 2627988644 |
Fax Number: | 2627988657 |
NPI Enumeration Date: | 12/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4588 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |