Individual
KATHLEEN TOLSDORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
4501 HILL RD, HIGHLAND, IL 62249-3519
(618) 830-6562
Mailing address
2012 VISTA LAKE CT, SPRINGFIELD, IL 62704-6407
(217) 622-3248
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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