Individual
ELIZABETH PFLUG-FROH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4202 5TH AVE, KENOSHA, WI 53140-2913
(262) 654-1246
Mailing address
4202 5TH AVE, KENOSHA, WI 53140-2913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2221-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2221-024
PHYSICAL THERAPY LICENSE
WI
05
—
4005-7700
—
WI
Enumeration date
03/29/2007
Last updated
07/09/2007
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