TIFFANY A TRUCKENMILLER

FREEPORT, IL
NPI1225464530
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IL  070020134)
Enumeration Date2013-09-18
Last Update Date2013-09-18
Business Address
-- TIFFANY A TRUCKENMILLER PT
1010 FAIRWAY DR
FREEPORT, IL 61032-6600
Phone number: 815-599-6340
Mailing Address
-- TIFFANY A TRUCKENMILLER PT
421 W EXCHANGE ST
FREEPORT, IL 61032-4008
Phone number: 815-599-7950