Provider Demographics
NPI:1780173914
Name:STREHLOW, DANICA R (PT)
Entity type:Individual
Prefix:
First Name:DANICA
Middle Name:R
Last Name:STREHLOW
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3901 STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-3948
Mailing Address - Country:US
Mailing Address - Phone:715-907-0900
Mailing Address - Fax:715-803-6977
Practice Address - Street 1:4002 SCHOFIELD AVE STE 2
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:WI
Practice Address - Zip Code:54476-3809
Practice Address - Country:US
Practice Address - Phone:715-870-2422
Practice Address - Fax:715-870-2428
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100077340Medicaid