Theresa Cervantes, PTA

NPI #1124307137 in Sycamore, Illinois

Provider Information

NPI Number: 1124307137
Entity Type: Individual
Name: Theresa Cervantes, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: PTA
Enumeration Date: Aug 8, 2011
Last Updated: Aug 8, 2011

Practice Location

Address: 1715 DEKALB AVE
Address 2: SUITE 125
City: Sycamore
State: Illinois
ZIP Code: 60178-2736
Phone: (815) 991-5760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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