SearchWisconsin225200000X

Edward Leitze, PTA

NPI 1396842720 · on the registry since 2006

Practice

Address
2705 Enloe St
Hudson, WI 54016
Phone
(715) 386-2128
Fax
(715) 386-6119
Organisation at this address
Its Of Wi
Inferred from a shared address, not stated in the registry.
Clinicians at this address
54

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

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