Theresa Marie Koon
NPI #1831915818 in Ona, West Virginia
Provider Information
- NPI Number
- 1831915818
- Entity Type
- Individual
- Name
- Theresa Marie Koon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Nov 25, 2024
- Last Updated
- Nov 25, 2024
Practice Location
- Address
- 155 CHEYENNE TRL
- City
- Ona
- State
- West Virginia
- ZIP Code
- 25545-9754
- Phone
- (304) 395-3464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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