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NPI Code Detail

MEDICARE: CAROL ANN SCHMITT DICKERT MS OTR L LPTA

MEDICARE: CAROL ANN SCHMITT DICKERT MS OTR L LPTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant1185-019WI
2225X00000XOccupational Therapist852-026WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730355942
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL ANN SCHMITT DICKERT MS OTR L LPTA
Provider Business Mailing Address
First Line : 18940 CAVENDISH RD
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-8159
Country : US
Telephone Number : 262-783-6620
Fax Number : 262-783-1513
Provider Business Practice Location Address
First Line : 2801 E MORGAN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-3771
Country : US
Telephone Number : 414-977-5005
Fax Number : 414-977-5011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2008
Last Update Date : 05/07/2008

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