Patricia Jean Theabo
NPI #1366677379 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1366677379
- Entity Type
- Individual
- Name
- Patricia Jean Theabo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- May 19, 2009
- Last Updated
- Feb 1, 2010
Practice Location
- Address
- 845 SOUTH MAIN STREET
- Address 2
- SUITE 120
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-6116
- Phone
- (920) 322-0447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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