Individual
MRS. JOANN BARNEY TEUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9850 ST LUKES DR, NAMPA, ID 83687-7912
(208) 505-2000
Mailing address
216 BROADWAY AVE, WILMETTE, IL 60091-3465
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6216
ID
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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