MRS. Theresa Diane Harvey, DT

NPI #1053576736 in Rockford, Illinois

Provider Information

NPI Number: 1053576736
Entity Type: Individual
Name: MRS. Theresa Diane Harvey, DT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: DT
Enumeration Date: Jul 22, 2008
Last Updated: Jul 22, 2008

Practice Location

Address: 2502 WHITMIRE DR
City: Rockford
State: Illinois
ZIP Code: 61109-6732
Phone: (815) 873-1910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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