Individual
DR. COURTNEY DISTERHAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-1313
Mailing address
W13239 PENNY LN, RIPON, WI 54971-9586
(920) 896-1996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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