Ms Alicia Hartung Duerst, DPT | |
27477 Highway 64, Suite C, Cornell, WI 54732-5222 | |
(715) 239-0555 | |
(715) 239-0556 |
Full Name | Ms Alicia Hartung Duerst |
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Gender | Female |
Speciality | Physical Therapist |
Location | 27477 Highway 64, Cornell, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063768000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 12043-24 (Wisconsin) | Primary |
Provider Name | Midwest Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1811015274 PECOS PAC ID: 3375518202 Enrollment ID: O20040901001332 |
Mailing Address | Practice Location Address |
---|---|
Ms Alicia Hartung Duerst, DPT E4572 461st Ave, Menomonie, WI 54751-5457 Ph: (715) 308-0332 | Ms Alicia Hartung Duerst, DPT 27477 Highway 64, Suite C, Cornell, WI 54732-5222 Ph: (715) 239-0555 |
Mrs. Nelda Joy Thomas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27477 Highway 64, Cornell, WI 54732 Phone: 601-807-2855 | |
Lakeland Physical Therapy L.l.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 27477 State Highway 64, Suite C, Cornell, WI 54732 Phone: 715-239-0555 Fax: 715-239-0556 | |
Mary Joy Borton, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27477 Highway 64, Suite C, Cornell, WI 54732 Phone: 715-864-5394 Fax: 715-239-0556 |