SearchWisconsin225200000X

Eva Dettlaff, PTA

NPI 1992145023 · on the registry since 2013

Practice

Address
3100 W Edgerton Ave
Greenfield, WI 53221
Phone
(262) 302-9412

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-07-03

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