Individual
FRANK C FANTAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DPT
Contact information
Practice address
1532 S GREEN BAY RD STE 200, MT PLEASANT, WI 53406-4410
(262) 321-0240
(262) 321-0242
Mailing address
1532 S GREEN BAY RD, STE 200, MT PLEASANT, WI 53406-4410
(262) 321-0240
(262) 321-0242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1770-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40039400
—
WI
Enumeration date
07/18/2006
Last updated
03/17/2018
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