Brefeld Physical Therapy Services Pc

NPI 1053308015 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1053308015
Enumeration Date 10/04/2005
Last Updated 11/21/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name JOAN L JOAN
Position PRESIDENT
Phone (618) 236-7588
Fax (618) 236-7589
Practice Location
106 LINCOLN PLACE CT
BELLEVILLE IL, 62221-5884, US
Phone (618) 236-7588
Fax (618) 236-7589
Business Location
106 LINCOLN PLACE CT
BELLEVILLE IL, 62221-5884, US
Phone (618) 236-7588
Fax (618) 236-7589
Toxanomy
Taxonomy Code 235Z00000X
License State
License Number
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According to our database, Brefeld Physical Therapy Services Pc NPI is 1053308015, taxonomy code is 235Z00000X Brefeld Physical Therapy Services Pc physically located at 106 Lincoln Place Ct, Belleville IL, 62221-5884. NPI Number 1033115704 has the healthcare provider type.

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1053308015 NPI number is provided on an as is basis without warranty of any kind. 1053308015 is maintained by the National Plan & Provider Enumeration System. The contents of Brefeld Physical Therapy Services Pc are for informational purposes only.