Individual
LEA KAYE FRANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
321 RIVERSIDE DR, PEWAUKEE, WI 53072-4612
(262) 691-6234
Mailing address
345 RIVER BLUFF CIRLCE, OCONOMOWOC, WI 53066
(262) 560-1575
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
799-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40200200
—
WI
Enumeration date
05/23/2007
Last updated
07/08/2007
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