Individual
TIFFANY A TRUCKENMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
(815) 599-6340
Mailing address
421 W EXCHANGE ST, FREEPORT, IL 61032-4008
(815) 599-7950
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
070020134
IL
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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