Mary Ann Breault is a Physical Therapist based in Loves Park, IL. Mary Ann Breault practices in Loves Park, IL and has the professional credentials of LPT. The NPI Number for Mary Ann Breault is 1215063193 and holds a License No. 070009033 (Illinois).
The current practice location address for Mary Ann Breault is 1941 Harlem Rd, Loves Park, IL and can be reached out via phone at 815-986-4411 and via fax at 815-986-4414.
Identifier | Type | State | Issuer |
---|---|---|---|
10132053 | 01 | IL | BCBS PROVIDER NUMBER |
020654168 | 01 | IL | TAX ID |
070009033 | 01 | IL | STATE LISCENSE |
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