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Individual
TERESA O'CONNOR
Active
Individual
TERESA O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL THERAP
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
TO16200606P
IL
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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