Southworth, Therese R

Southworth, Therese R is an individual health care provider with primary practice located at 1925 N Gary Ave , Wheaton IL 60187-3056. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Southworth, Therese R can be contacted via phone (630) 653-6336.

Contact Information

Primary practice address
1925 N Gary Ave Wheaton IL 60187-3056
Phone: (630) 653-6336
Fax: (630) 653-6446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-004371 Illinois

Profile Details

NPI number 1356394068
LBN Legal business name Southworth, Therese R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 3rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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