Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Ann Breault, LPT

Individual provider Physical Therapist · NPI 1215063193

Mary Ann Breault, LPT is a Physical Therapist in Loves Park, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

1941 Harlem Rd
Loves Park, IL 61111-2747
Phone: (815) 986-4411
Fax: (815) 986-4414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070009033 (IL)

Record details

NPI number1215063193
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPT
Sole proprietorNo
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJuly 8, 2007

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