Organization
PROGRESSSTEP
Active
Other names
Extended
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA KAY CARSTENS P.T.A. (P.T.A.)
(920) 684-1144
Entity
Organization
Contact information
Practice address
960 S RAPIDS RD, MANITOWOC, WI 54220-4146
(920) 684-1144
(920) 482-0651
Mailing address
1903 RICHMOND AVE, MANITOWOC, WI 54220-1750
(920) 684-5480
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40235700
—
WI
Enumeration date
05/09/2007
Last updated
08/22/2020
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