Bonnie Breitbarth PT

NPI 1285998450 - Physical Therapist - 225100000X

NPI Details
NPI 1285998450
Gender Female
Enumeration Date 07/02/2012
Last Updated 07/02/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2810 FRANK SCOTT PKWY W
STE 824
BELLEVILLE IL, 62223-5007, US
Phone (618) 234-9705
Fax (618) 257-0665
Business Location
2810 FRANK SCOTT PKWY W
STE 824
BELLEVILLE IL, 62223-5007, US
Phone (618) 234-9705
Fax (618) 257-0665
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070004364
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According to our database, Bonnie Breitbarth PT NPI is 1285998450, taxonomy code is 225100000X and license number is 070004364, license state is located at Illinois. Bonnie Breitbarth PT physically located at 2810 Frank Scott Pkwy W, Belleville IL, 62223-5007. NPI Number Bonnie Breitbarth PT has the Individual type.

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1285998450 NPI number is provided on an as is basis without warranty of any kind. 1285998450 is maintained by the National Plan & Provider Enumeration System. The contents of Bonnie Breitbarth PT are for informational purposes only.