Individual
DEBRA L DAUTERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1700 W PARADISE DR, WEST BEND, WI 53095-9795
(262) 677-7410
Mailing address
6602 WALTERS DR, WEST BEND, WI 53090-9378
(262) 629-9801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4098
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40319800
—
WI
Enumeration date
10/24/2006
Last updated
10/02/2025
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