MARY BREAULT, LPT

Physical Therapist

Active Individual
NPI: 1215063193

Practice Address

1941 HARLEM RD
Loves Park, IL 61111

Phone: (815) 986-4411

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 070009033 (IL)

Frequently Asked Questions

NPI 1215063193 is the National Provider Identifier for MARY BREAULT, LPT, a Physical Therapist provider located in Loves Park, IL. This NPI was enumerated on February 26, 2007.
MARY BREAULT, LPT practices at 1941 HARLEM RD, Loves Park, IL 61111.

Quick Facts

NPI
1215063193
Type
Individual
Enumerated
Feb 26, 2007
Last Updated
Jul 8, 2007

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