Individual
THERESA INGERSOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3485 WINDSOR AVE, DUBUQUE, IA 52001-1329
(608) 778-6553
Mailing address
1112 NEALMAR RD, PLATTEVILLE, WI 53818-9096
(608) 778-6553
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
073794
IA
225200000X
Physical Therapy Assistant
2237
WI
Other
Enumeration date
08/23/2019
Last updated
02/22/2024
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