Individual
FREDERICK REICHENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17280 W NORTH AVE, #104, BROOKFIELD, WI 53045-4366
(262) 780-0707
Mailing address
17280 W NORTH AVE, #104, BROOKFIELD, WI 53045-4366
(262) 780-0707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1577
WI
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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