Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | 3576-024 | WI |
Y | 2251X0800X | Physical Therapist - Orthopedic | 3576-024 | WI |
NPI | 1295987220 |
---|---|
Provider Name | Cynthia Marie Teske |
First Address | West Salem, WI 54669-1417 |
Second Address | West Salem, WI 54669-1417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2008 |
Last Update Date | 22/10/2008 |