Individual
CAROL ANN SCHMITT DICKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR L LPTA
Contact information
Practice address
2801 E MORGAN AVE, MILWAUKEE, WI 53207-3771
(414) 977-5005
(414) 977-5011
Mailing address
18940 CAVENDISH RD, BROOKFIELD, WI 53045-8159
(262) 783-6620
(262) 783-1513
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1185-019
WI
225X00000X
Occupational Therapist
Primary
852-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40505600
—
WI
Enumeration date
05/07/2008
Last updated
05/07/2008
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