Theresa Schaffer

NPI #1629242516 in East Peoria, Illinois

Provider Information

NPI Number: 1629242516
Entity Type: Individual
Name: Theresa Schaffer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 22, 2008
Last Updated: Apr 22, 2008

Practice Location

Address: 500 CENTENNIAL DR
City: East Peoria
State: Illinois
ZIP Code: 61611-4912
Phone: (309) 694-9865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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