NPI 1053576736

Theresa Diane Harvey, DT

Practitioner Contractor Rockford, IL

Practice location

Address: 2502 Whitmire Dr, Rockford, IL 61109-6732
Phone: (815) 873-1910

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1053576736
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2008
Record last updated: 22 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.