Individual
DESSA MARIE GEMAR THELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
714 BICKLEY CT, STOUGHTON, WI 53589-1478
(608) 334-4562
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11455-024
WI
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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