Individual
KATHRYN THEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 S MAIN ST, WATERBURY, VT 05676-1579
(802) 488-1140
Mailing address
13 STOWE ST APT 2, WATERBURY, VT 05676-1820
(262) 391-4118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134222
VT
Other
Enumeration date
01/22/2014
Last updated
10/03/2024
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