DIANE FORTEK

BROOKFIELD, WI
NPI1376883280
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1919-19)
Enumeration Date2013-03-01
Last Update Date2017-02-11
Business Address
-- DIANE FORTEK PTA
19395 W CAPITOL DR STE 200
BROOKFIELD, WI 53045-2736
Phone number: 414-327-6603
Mailing Address
-- DIANE FORTEK PTA
19395 W CAPITOL DR STE 200
BROOKFIELD, WI 53045-2736
Phone number: 414-327-6603
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