Individual
TERESA HUTCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
299 SWAN AVE, CENTRALIA, IL 62801-6127
(618) 533-4423
Mailing address
PO BOX 1946, CENTRALIA, IL 62801-9127
(618) 594-8325
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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