THERESE R SOUTHWORTH

WHEATON, IL
NPI1356394068
Former NameTHERESE R BREHMER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-004371)
Enumeration Date2006-05-17
Last Update Date2014-03-03
Business Address
-- THERESE R SOUTHWORTH PT
1925 N GARY AVE
WHEATON, IL 60187-3056
Phone number: 630-653-6336
Mailing Address
-- THERESE R SOUTHWORTH PT
205 W WACKER DR SUITE105
CHICAGO, IL 60606-1216
Phone number: 312-640-0329
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