Individual
KATE PEZANOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-2711
Mailing address
17700 W CAPITOL DR, BROOKFIELD, WI 53045-2006
(262) 781-3083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11558
WI
Other
Enumeration date
08/12/2016
Last updated
12/21/2020
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