Organization Name: | PAUL WILLIAM STOKES |
NPI Number: | 1336347897 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEATHER MARIE HARTWIG STOKES (OWNER PHYSICAL THERAPIST) |
Mailing Address: | 217 S Century Ave Waunakee |
State: | WI US |
Postal Code: | 535971249 |
Phone Number: | 6082355527 |
Fax Number: | 6082376887 |
NPI Enumeration Date: | 07/06/2007 |
NPI Last Update Date: | 11/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 9741024 |
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: |