Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Patricia Jean Theabo

Individual provider Physical Therapy Assistant · NPI 1366677379

Patricia Jean Theabo is a Physical Therapy Assistant in Fond Du Lac, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2009

Practice location Address checks out

845 S Main St Ste 120
Fond Du Lac, WI 54935-6116
Phone: (920) 322-0447
Fax: (920) 322-1362
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 720-019 (WI)

Record details

NPI number1366677379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 19, 2009
Last updated in NPPESFebruary 1, 2010

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