Individual
THOMAS TESLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 5TH AVE APT 203, MOLINE, IL 61265-1343
(309) 236-5276
Mailing address
1320 5TH AVE APT 203, MOLINE, IL 61265-1343
(309) 236-5276
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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