Doctor Name: | MARY GRACE DE ZEE |
NPI Number: | 1609172295 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 5067-24 |
Business Practice Address: | 402 S Center St Durand, IL - 610249590 |
Business Phone Number: | 8152482151 |
Business Fax Number: | |
Mailing Address: | 1115 23rd Ave, MONROE |
State: | WI |
Postal Code: | 535662104 |
Phone Number: | 6083256610 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2011 |
NPI Last Update Date: | 02/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5067-24 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |