Teresa Lynne Dorval

NPI #1134332208 in Sycamore, Illinois

Provider Information

NPI Number: 1134332208
Entity Type: Individual
Name: Teresa Lynne Dorval
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: May 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1140 TOWNSEND ST
City: Sycamore
State: Illinois
ZIP Code: 60178-2529
Phone: (815) 899-9172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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