Theda Care Peabody Manor

NPI #1265589303 in Appleton, Wisconsin

Provider Information

NPI Number
1265589303
Entity Type
Organization
Organization Name
Theda Care Peabody Manor
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 4, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
2600 S HERITAGE WOODS DR
ZIP Code
54915-1408
Phone
(920) 225-7764

Authorized Official

Name
MRS. TONI MARIE RADISH, MSPT
Title
PHYSICAL THERAPIST
Phone
(920) 225-7764

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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