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NPI Code Detail

MEDICARE: LAURA FRITZ

MEDICARE: LAURA FRITZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant803-19WI

General Provider Information

NPI Number : 1215206594
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA FRITZ
Provider Business Mailing Address
First Line : 435 W STARIN RD
Second Line :
City : WHITEWATER
State : WI
Zip : 53190-1133
Country : US
Telephone Number : 262-473-2140
Fax Number :
Provider Business Practice Location Address
First Line : 435 W STARIN RD
Second Line :
City : WHITEWATER
State : WI
Zip : 53190-1133
Country : US
Telephone Number : 262-473-2140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2011
Last Update Date : 12/15/2011

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Directions to “ LAURA FRITZ ” Practice Location

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