Individual
CAROL A SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1300 EGG HARBOR RD STE 108, STURGEON BAY, WI 54235-1284
(920) 746-0410
Mailing address
10560 APPLEWOOD DR, SISTER BAY, WI 54234-9005
(920) 854-4111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
393-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40266700
—
WI
Enumeration date
08/25/2006
Last updated
05/14/2010
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