Individual
EMILY KAY TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
813 LARS HOFFMAN XING, GODFREY, IL 62035-4240
(618) 466-0600
Mailing address
1301 RANDLE ST, EDWARDSVILLE, IL 62025-1345
(618) 363-9312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014693
IL
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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