Individual provider · Type 1 NPI

Laurie Dybul, PT

Pediatric Physical Therapist · Mequon, WI

NPI number 1407952526 Active

Practice location

10602 N Port Washington Rd, Suite 101
Mequon, WI 53092-5079

Call (262) 241-8030 Map

Fax (262) 241-8304

Mailing address

249 Saint Rose Ave
Fredonia, WI 53021-9479

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X9880-024 (WI)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1407952526

Laurie Dybul, PT's National Provider Identifier is 1407952526, issued on Sep 15, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Mequon, WI. The record was last updated on Jul 8, 2007.