Individual ProviderJoan F ThiedePhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1040 Pilgrim Way, Woodside Lutheran Home, Green Bay, WI 54304(920) 405-3522PECOS EnrollmentBased on the most recent information from CMS, provider Joan F Thiede does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1932410446Provider TypeIndividualFull NameThiede, Joan FTitleMrs.CredentialP.T.A.GenderFemaleSole ProprietorNoEnumeration Date6/30/2010Last Updated6/30/2010Contact InformationPractice LocationPractice Address1040 Pilgrim Way, Woodside Lutheran Home, Green Bay, WI 54304Phone(920) 405-3522FaxUnlisted FaxMailing LocationMailing Address1040 Pilgrim Way, Woodside Lutheran Home, Green Bay, WI 54304Phone(920) 405-3522FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225200000XPrimaryDescriptionPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer