Stephen Breault PT

NPI 1427230572 - Physical Therapist - 225100000X

NPI Details
NPI 1427230572
Gender Male
Enumeration Date 11/30/2007
Last Updated 11/30/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
8 W CHESTNUT ST
CHICAGO IL, 60610-3313, US
Phone (312) 266-9090
Fax
Business Location
8 W CHESTNUT ST
CHICAGO IL, 60610-3313, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070010655
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According to our database, Stephen Breault PT NPI is 1427230572, taxonomy code is 225100000X and license number is 070010655, license state is located at Illinois. Stephen Breault PT physically located at 8 W Chestnut St, Chicago IL, 60610-3313. NPI Number Stephen Breault PT has the Individual type.

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1427230572 NPI number is provided on an as is basis without warranty of any kind. 1427230572 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Breault PT are for informational purposes only.