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Contact Information

CATHERINE L GRZYWACZ, PT
421 CAMELOT DR
FOND DU LAC, WI54935
 Phone: 920-923-7940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CATHERINE L GRZYWACZ · (Female)

NPI # 1144263344
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 06/14/2006
Last updated 08/10/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2614-024
  • WI Medicaid 40105700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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