Individual
TERESA A SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433, MADISON, WI 53792-0001
(608) 662-0817
Mailing address
10244 N HAROLD DR, BROOKLYN, WI 53521-9657
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
4443-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4443-24
PHYSICAL THERAPIST
WI
Enumeration date
10/26/2006
Last updated
07/08/2007
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