Krista Teckenbrock

NPI #1184013955 in Herrin, Illinois

Provider Information

NPI Number
1184013955
Entity Type
Individual
Name
Krista Teckenbrock
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Enumeration Date
Jan 16, 2015
Last Updated
Jan 16, 2015

Practice Location

Address
37 DOUGLAS DR
City
Herrin
ZIP Code
62948-4232
Phone
(618) 988-6859

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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