Benjamin Lyle Dorow, PT, DPT

NPI #1750872362 in Antigo, Wisconsin

Provider Information

NPI Number: 1750872362
Entity Type: Individual
Name: Benjamin Lyle Dorow, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: May 21, 2018
Last Updated: Feb 25, 2022

Practice Location

Address: 720 ACKLEY ST
City: Antigo
State: Wisconsin
ZIP Code: 54409-2405
Phone: (715) 623-2292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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