NPI 1063675072

Justine Lynn Faraone, PTA

Practitioner Specialist Greenfield, WI

Practice location

Address: 5700 W Layton Ave, Greenfield, WI 53220-4016
Phone: (414) 281-7200
Fax: (414) 282-7512

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 160.004734 (IL)

Other Specialist providers in Wisconsin →

Registry record

NPI: 1063675072
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2008
Record last updated: 19 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.