Individual
MRS. SVETLANA SQUEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
140 LAWTON RD, RIVERSIDE, IL 60546-2357
(615) 525-1069
Mailing address
140 LAWTON RD, RIVERSIDE, IL 60546-2357
(615) 525-1069
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009510
IL
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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