Individual
MS. ERIN E DOXTATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1111 DELAFIELD ST, SUITE 120, WAUKESHA, WI 53188-3417
(262) 521-9762
(262) 521-1091
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6204-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36114000
—
WI
Enumeration date
06/10/2006
Last updated
08/29/2012
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