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NPI Code Detail

MEDICARE: MR. DEAN FREELAND PT

MEDICARE: MR. DEAN FREELAND PT
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
1225100000XPhysical Therapist5871024WY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124291653
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DEAN FREELAND PT
Provider Business Mailing Address
First Line : N3877 BROSIG LN
Second Line :
City : FORT ATKINSON
State : WI
Zip : 53538-9153
Country : US
Telephone Number : 608-423-1470
Fax Number :
Provider Business Practice Location Address
First Line : 8520 W OKLAHOMA AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53227-4604
Country : US
Telephone Number : 414-607-4258
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2008
Last Update Date : 04/04/2008

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Directions to “ MR. DEAN FREELAND PT” Practice Location

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