Individual
THI LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5000
Mailing address
3755 CLINIC RD, BELOIT, WI 53511-1900
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
11948-24
WI
282N00000X
General Acute Care Hospital
Primary
39430
CA
Other
Enumeration date
08/21/2012
Last updated
10/11/2021
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