Individual
JUSTINE LYNN FARAONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5700 W LAYTON AVE, GREENFIELD, WI 53220-4016
(414) 281-7200
(414) 282-7512
Mailing address
5700 W LAYTON AVE, GREENFIELD, WI 53220-4016
(414) 281-7200
(414) 282-7512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
160.004734
IL
Other
Enumeration date
07/09/2008
Last updated
11/19/2010
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