Provider Demographics
NPI:1043762214
Name:WILHELME, ABIGAIL JOY (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:JOY
Last Name:WILHELME
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:ABIGAIL
Other - Middle Name:JOY
Other - Last Name:CLAUSING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:975 PORT WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WI
Mailing Address - Zip Code:53024-9201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:W76 N677 N WAUWATOSA RD.
Practice Address - Street 2:
Practice Address - City:CEDARBURG
Practice Address - State:WI
Practice Address - Zip Code:53012
Practice Address - Country:US
Practice Address - Phone:262-377-5060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-03
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13436 - 024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist