BRENDA JEAN FORE

PEORIA, IL
NPI1184898132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.003938)
Enumeration Date2008-04-21
Last Update Date2008-04-21
Business Address
-- BRENDA JEAN FORE PTA
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number: 309-692-8110
Mailing Address
-- BRENDA JEAN FORE PTA
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number: 309-692-8110
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