Individual
DANIEL FRENETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 S CLARK ST, MAYVILLE, WI 53050-1488
(920) 387-1370
Mailing address
305 S CLARK ST, MAYVILLE, WI 53050-1488
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1981-19
WI
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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