Theresa Moen
NPI #1174084362 in Plainfield, Illinois
Provider Information
- NPI Number
- 1174084362
- Entity Type
- Individual
- Name
- Theresa Moen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Mar 29, 2019
- Last Updated
- Oct 16, 2019
Practice Location
- Address
- 11914 S ROUTE 59 UNIT 124
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60585-5110
- Phone
- (630) 381-0496
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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