Elizabeth Marie Theis

Individual provider Physical Rehabilitation Occupational Therapist · NPI 1417500174

Elizabeth Marie Theis is a Physical Rehabilitation Occupational Therapist in Random Lake, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since: 2019

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Practice location Address checks out

222 Christines Way
Random Lake, WI 53075-1680
Phone: (920) 889-5056

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary)	Taxonomy 225XP0019X

Record details

NPI number	1417500174
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	July 22, 2019
Last updated in NPPES	July 22, 2019