Tara Roeckenhaus
Tara Roeckenhaus is a Physical Therapist in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
Practice location Address checks out
606 E Il Highway 15Mount Vernon, IL 62864-5072
Phone: (618) 242-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 070020532 (IL) |
|---|
Record details
| NPI number | 1689094237 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 22, 2014 |
| Last updated in NPPES | April 22, 2014 |
| Mailing address | 606 E Il Highway 15, Mount Vernon, IL 62864-5072 |
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James M Mulvaney
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Mrs. Susan Christine Portner, RPT
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