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NPI Code Detail

MEDICARE: CATHERINE JANE STAHL PT

MEDICARE: CATHERINE JANE STAHL PT
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
1225100000XPhysical Therapist070013797IL
2225100000XPhysical Therapist12920-24WI

General Provider Information

NPI Number : 1790864270
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE JANE STAHL PT
Provider Business Mailing Address
First Line : 600 OAKMONT LN STE 600C
Second Line :
City : WESTMONT
State : IL
Zip : 60559-5548
Country : US
Telephone Number : 630-575-6200
Fax Number :
Provider Business Practice Location Address
First Line : 2615 N DOWNER AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53211-4245
Country : US
Telephone Number : 414-962-4400
Fax Number : 414-962-5674
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 02/25/2019

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Directions to “ CATHERINE JANE STAHL PT” Practice Location

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