Agnes P Dietenberger in Hartford - Physical Therapy Assistant
Agnes P Dietenberger - NPI 1306051743
Agnes P Dietenberger is a Physical Therapy Assistant in Hartford, Wisconsin. Agnes P Dietenberger practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Agnes P Dietenberger is 1306051743. The last update date is 2007-07-08.
Agnes P Dietenberger's current location address is 1745 Falcon Dr, Hartford, Wisconsin. You can contact this provider via phone number 2626730142. The mailing address for Agnes P Dietenberger is 1745 Falcon Dr, Hartford, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Agnes P Dietenberger |
|---|---|
| Address | 1745 Falcon Dr, Hartford, Wisconsin |
| Phone Number | 2626730142 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PTA, CMT |
NPI Number Detail
| NPI Number | 1306051743 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1745 Falcon Dr |
|---|---|
| City | Hartford |
| State | Wisconsin (WI) |
| Post Code | 530272790 |
| Phone Number | 2626730142 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 20-019 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Agnes P Dietenberger by the Centers for Medicare & Medicaid Services?
The Agnes P Dietenberger has been assigned the NPI (National Provider Identifier) 1306051743 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Agnes P Dietenberger's facilities are geographically located?
The facilities of Agnes P Dietenberger are physically situated at the following location: 1745 Falcon Dr, Hartford, WI, 530272790.
What is the Agnes P Dietenberger's specialty and taxonomy code?
The Agnes P Dietenberger's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.
On what date did the Agnes P Dietenberger receive the assignment of its 1306051743 from the Centers for Medicare & Medicaid Services?
The Agnes P Dietenberger was issued its 1306051743 by the Centers for Medicare & Medicaid Services on 2007-05-11.
As of what date were the details pertaining to Agnes P Dietenberger last refreshed?
The information related to the Agnes P Dietenberger, including its address, specialty, and other relevant details, was last updated on 2007-07-08.