Thomas Teslik
Developmental Therapist in Moline, IL. Individual provider (NPI-1).
NPI number1982185757
StatusActive
Last updated in NPPESAug 28, 2018
Details
- NPI
- 1982185757
- Entity type
- Individual (NPI-1)
- Name
- Thomas Teslik
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2018
- Last updated
- Aug 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
1320 5th Ave Apt 203Moline, IL 61265-1343
Phone 309-236-5276
Mailing address
1320 5th Ave Apt 203Moline, IL 61265-1343
Phone 309-236-5276
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