Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICIA JEAN THEABO
Active Sole ProprietorPATRICIA JEAN THEABO is a Occupational Therapist healthcare provider located in FOND DU LAC, Wisconsin. NPI 1366677379 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FOND DU LAC, WI
Registration Details
- NPI Number
- 1366677379
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2009 (17.20715238607 yrs)
- Last Updated
- Feb 1, 2010
- License
-
720-019 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
845 SOUTH MAIN STREETSUITE 120FOND DU LAC, WI, 549356116Browse WI providers · Browse ZIP 54935
- Phone
- 9203220447
- Fax
- 9203221362
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in FOND DU LAC, WI
| Name | Credential | NPI |
|---|---|---|
| JENNIFER L THOMPSON | PTA | 1255388625 |
| REBECCA A SCHMITZ | PTA | 1811935695 |
| VICKI D CORCORAN | PTA | 1962445163 |
| MRS. STACI CHRISTINE POLISHINSKI | PTA | 1134297070 |
| SARAH A MINTEN | PTA | 1861538241 |
| TYLER J NORTON | — | 1457494999 |
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.