Individual
BRIANNA DEPIETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
Mailing address
555 W KINZIE ST # E0711, CHICAGO, IL 60654-5727
(262) 745-5164
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17383-24
WI
2251G0304X
Geriatric Physical Therapist
17383-24
WI
2251N0400X
Neurology Physical Therapist
17383-24
WI
2251X0800X
Orthopedic Physical Therapist
17383-24
WI
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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