Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY TERESE ANNE SQUEO, RT, CYT
Active Sole ProprietorMS. MARY TERESE ANNE SQUEO, RT, CYT is a Recreation Therapist healthcare provider located in WILLOW SPRINGS, Illinois. NPI 1770735433 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · WILLOW SPRINGS, IL
Registration Details
- NPI Number
- 1770735433
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 14, 2008 (17.864890145512 yrs)
- Last Updated
- Oct 14, 2008
- License
-
225800000X (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8626 DUNBAR STWILLOW SPRINGS, IL, 604801165Browse IL providers · Browse ZIP 60480
- Phone
- 7082024913
- Primary Specialty
-
Recreation Therapist
225800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.