NPI 1083772529
Edward V van Dewater, MPTCSCS
Practice location
- Address
- 6222 Washington Ave, Mount Pleasant, WI 53406-3948
- Phone
- (262) 884-6418
- Fax
- (262) 884-6489
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1083772529
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Dec 2006
- Record last updated
- 21 Nov 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.