Individual
MRS. TERRI JO MUSSATTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 MILL ST, MOUNT OLIVE, IL 62069-2038
(618) 420-1703
Mailing address
700 MILL ST, MOUNT OLIVE, IL 62069-2038
(618) 420-1703
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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