KRISTA TECKENBROCK

HERRIN, IL
NPI1184013955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2015-01-16
Last Update Date2015-01-16
Business Address
-- KRISTA TECKENBROCK
37 DOUGLAS DR
HERRIN, IL 62948-4232
Phone number: 618-988-6859
Mailing Address
-- KRISTA TECKENBROCK
37 DOUGLAS DR
HERRIN, IL 62948-4232
Phone number: 618-988-6859
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