Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE FORTEK, PTA
Active Sole ProprietorDIANE FORTEK, PTA is a Occupational Therapist healthcare provider located in BROOKFIELD, Wisconsin. NPI 1376883280 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BROOKFIELD, WI
Registration Details
- NPI Number
- 1376883280
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 1, 2013 (13.42912708958 yrs)
- Last Updated
- Feb 11, 2017
- License
-
1919-19 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19395 W CAPITOL DR STE 200BROOKFIELD, WI, 530452736Browse WI providers · Browse ZIP 53045
- Phone
- 4143276603
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in BROOKFIELD, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. TAMMY SUE ZYDUCK | PTA | 1982677118 |
| MRS. CYNTHIA ANN BRZANK | PTA | 1407829625 |
| MRS. CATHERINE ELIZABETH TORRES | PTA | 1215900451 |
| MRS. CHERYL LYNN ROSSEBO | PTA | 1679546816 |
| MS. ANN MARIE BUTKIEWICZ | PTA | 1891768008 |
| MRS. ALENA Z KAN | PTA | 1295708386 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.