Tara Roeckenhaus
NPI #1689094237 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1689094237
- Entity Type
- Individual
- Name
- Tara Roeckenhaus
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 22, 2014
- Last Updated
- Apr 22, 2014
Practice Location
- Address
- 606 E IL HIGHWAY 15
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-5072
- Phone
- (618) 242-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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