Teresa L Nayden PTA

NPI 1093004301 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1093004301
Gender Female
Enumeration Date 04/07/2011
Last Updated 04/07/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
318 E WASHINGTON ST # B
MONTICELLO IL, 61856-1645, US
Phone (217) 778-5439
Fax
Business Location
318 E WASHINGTON ST # B
MONTICELLO IL, 61856-1645, US
Phone (217) 778-5439
Fax
Toxanomy
Taxonomy Code 225200000X
License State Illinois
License Number 160.001510
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According to our database, Ms. Teresa L Nayden PTA NPI is 1093004301, taxonomy code is 225200000X and license number is 160.001510, license state is located at Illinois. Teresa L Nayden PTA physically located at 318 E Washington St # B, Monticello IL, 61856-1645. NPI Number Teresa L Nayden PTA has the Individual type.

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1093004301 NPI number is provided on an as is basis without warranty of any kind. 1093004301 is maintained by the National Plan & Provider Enumeration System. The contents of Teresa L Nayden PTA are for informational purposes only.