Doctor Name: | MRS. CATHERINE ROBERTSTAD |
NPI Number: | 1326406612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 10252-24 |
Business Practice Address: | W227 N6103 Sussex Rd Sussex, WI - 530893969 |
Business Phone Number: | 4145668046 |
Business Fax Number: | |
Mailing Address: | W227 N6103 Sussex Rd, SUSSEX |
State: | WI |
Postal Code: | 530893969 |
Phone Number: | 4145668046 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2016 |
NPI Last Update Date: | 02/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 10252-24 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |