PATRICIA JEAN THEABO

FOND DU LAC, WI
NPI1366677379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  720-019)
Enumeration Date2009-05-19
Last Update Date2010-02-01
Business Address
-- PATRICIA JEAN THEABO
845 SOUTH MAIN STREET SUITE 120
FOND DU LAC, WI 54935-6116
Phone number: 920-322-0447
Mailing Address
-- PATRICIA JEAN THEABO
845 SOUTH MAIN STREET SUITE 120
FOND DU LAC, WI 54935-6116
Phone number: 920-322-0447