Individual
MRS. KIMBERLY ANNE TEDESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
470 GARFIELD AVE, EVANSVILLE, WI 53536-1014
(608) 882-6557
Mailing address
695 W MAIN ST, EVANSVILLE, WI 53536-1084
(608) 882-9961
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10322-024
WI
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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