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:
Health care specialties
Specialty | Code | License # | 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 11 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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