MS. MARY TERESE ANNE SQUEO RT CYT NPI 1770735433

NPI Information

NPI: 1770735433
Provider Name: MS. MARY TERESE ANNE SQUEO, RT, CYT
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
8626 DUNBAR ST
WILLOW SPRINGS, IL
ZIP 60480
Phone: (708) 202-4913
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MS. Mary Terese Anne Squeo, RT, CYT is a recreation therapist in Willow Springs, IL. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. MS. Mary Terese Anne Squeo, RT, CYT NPI is 1770735433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8626 DUNBAR ST
WILLOW SPRINGS, IL
ZIP 60480-165
Phone: (708) 202-4913

The enumeration date for this NPI number is 10/14/2008 and was last updated on 10/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225800000X	Recreation Therapist		225800000X	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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