Individual
THERESA RACHEL PRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA SLP
Contact information
Practice address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 965-1339
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 965-1339
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002059
IA
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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