Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 5977-024 | WI |
NPI | 1396912333 |
---|---|
Provider Name | Sherilyn Weinert |
First Address | Brookfield, WI 53045-5446 |
Second Address | Brookfield, WI 53045-5446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2008 |
Last Update Date | 22/05/2008 |