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Individual

MRS. TERESA A DRIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1201 W 12TH AVE, EMPORIA, KS 66801-2504
(620) 343-6800
Mailing address
2515 COLORADO RD, POMONA, KS 66076-9323
(785) 566-8838

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-00571
KS

Other

Enumeration date
05/16/2007
Last updated
07/08/2007
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