Individual
MS. JACQUELINE RENEE THOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 965-1339
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 965-1339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004082
IA
Other
Enumeration date
10/22/2010
Last updated
03/01/2013
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