Individual
THEA ISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1941 VIRGINIA AVE, CONNERSVILLE, IN 47331-2879
(765) 825-7964
Mailing address
1941 VIRGINIA AVE, CONNERSVILLE, IN 47331-2879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012451A
IN
Other
Enumeration date
02/28/2023
Last updated
03/01/2023
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