Individual
DEVIN FREITAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9120 W CAPITOL DR, MILWAUKEE, WI 53222-1622
(414) 438-3177
(414) 438-3176
Mailing address
9120 W CAPITOL DR, MILWAUKEE, WI 53222-1622
(414) 438-3177
(414) 438-3176
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2983-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2983-19
WISCONSIN PTA LICENSE
WI
Enumeration date
09/30/2019
Last updated
09/30/2019
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