Theresa Diane Harvey DT

NPI 1053576736 - Contractor - 171W00000X

NPI Details
NPI 1053576736
Gender Female
Enumeration Date 07/22/2008
Last Updated 07/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2502 WHITMIRE DR
ROCKFORD IL, 61109-6732, US
Phone (815) 873-1910
Fax
Business Location
2502 WHITMIRE DR
ROCKFORD IL, 61109-6732, US
Phone (815) 873-1910
Fax
Toxanomy
Taxonomy Code 171W00000X
License State
License Number
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According to our database, Mrs. Theresa Diane Harvey DT NPI is 1053576736, taxonomy code is 171W00000X Theresa Diane Harvey DT physically located at 2502 Whitmire Dr, Rockford IL, 61109-6732. NPI Number Theresa Diane Harvey DT has the Individual type.

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1053576736 NPI number is provided on an as is basis without warranty of any kind. 1053576736 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Diane Harvey DT are for informational purposes only.