Individual
THERESA MCKOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 MOUNT PLEASANT ST, BURLINGTON, IA 52601-2172
(319) 752-7727
(309) 343-3456
Mailing address
PO BOX 5387, BLOOMINGTON, IL 61702-5387
(309) 661-8823
(309) 661-8801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-021100
IL
225100000X
Physical Therapist
Primary
105369
IA
Other
Enumeration date
11/06/2014
Last updated
10/05/2021
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