Individual provider · Type 1 NPI
Mary Terese Anne Squeo, RT, CYT
Recreation Therapist · Willow Springs, IL
NPI number
1770735433
Active
Practice location
8626 Dunbar St
Willow Springs, IL 60480-1165
Mailing address
8626 Dunbar St.
Willow Springs, IL 60480
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recreation Therapist Primary | 225800000X | 225800000X (IL) |
Recreation Therapist: 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.
About NPI 1770735433
Mary Terese Anne Squeo, RT, CYT's National Provider Identifier is 1770735433, issued on Oct 14, 2008. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Willow Springs, IL. The record was last updated on Oct 14, 2008.