Individual
MRS. ELIZABETH ANNE THREASHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, WCC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.016411
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669776290
—
WI
Enumeration date
12/21/2010
Last updated
11/05/2013
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