Jean Dahlstrom in Green Bay - Physical Therapist
Jean Dahlstrom - NPI 1346415007
Jean Dahlstrom is a Physical Therapist in Green Bay, Wisconsin. Jean Dahlstrom practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jean Dahlstrom is 1346415007. The last update date is 2008-04-24.
Jean Dahlstrom's current location address is 617 S Roosevelt St, Green Bay, Wisconsin. You can contact this provider via phone number 9204457217 and fax number 9204457229. The mailing address for Jean Dahlstrom is 617 S Roosevelt St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Dahlstrom |
|---|---|
| Address | 617 S Roosevelt St, Green Bay, Wisconsin |
| Phone Number | 9204457217 |
| Fax Number | 9204457229 |
| Sole Proprietor | N |
| Credentials | PHYSICAL T |
NPI Number Detail
| NPI Number | 1346415007 |
|---|---|
| Provider Enumeration Date | 2008-04-24 |
| Last Updated Date | 2008-04-24 |
Provider Mailing Address Detail
| Address | 617 S Roosevelt St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543013402 |
| Phone Number | 9204457217 |
| Fax Number | 9204457229 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 1451024 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40186400 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jean Dahlstrom?
The Jean Dahlstrom has been issued the NPI (National Provider Identifier) 1346415007 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jean Dahlstrom's physical address?
The Jean Dahlstrom is physically located at 617 S Roosevelt St, in the city of Green Bay, WI, with the postal code 543013402.
What is Jean Dahlstrom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jean Dahlstrom is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did the Jean Dahlstrom receive the assignment of its 1346415007 from the Centers for Medicare & Medicaid Services?
The Jean Dahlstrom was issued its 1346415007 by the Centers for Medicare & Medicaid Services on 2008-04-24.
When was the Jean Dahlstrom's information last updated?
The Jean Dahlstrom's information was last updated on 2008-04-24.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA