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Diane Fortek, PTA
NPI 1376883280 · on the registry since 2013 · sole proprietor
Practice
- Address
- 19395 W Capitol Dr Ste 200
Brookfield, WI 53045 - Phone
- (414) 327-6603
- Organisation at this address
- Dva Renal Healthcare Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 35
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin