Individual
TERESA LYNNE DORVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 TOWNSEND ST, SYCAMORE, IL 60178-2529
(815) 899-9172
Mailing address
1140 TOWNSEND ST, SYCAMORE, IL 60178-2529
(815) 899-9172
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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