Individual
MICHELE LYNN FRYSTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2817 NEW PINERY RD, PORTAGE, WI 53901-9240
(608) 745-6400
(608) 745-6206
Mailing address
2817 NEW PINERY RD, PO BOX 387, PORTAGE, WI 53901-9240
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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