BRIANNA DANTA

MANTENO, IL
NPI1215696893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.008751)
Enumeration Date2021-12-10
Last Update Date2021-12-10
Business Address
Miss BRIANNA DANTA PTA
183 N MAIN ST
MANTENO, IL 60950-1243
Phone number: 815-261-0044
Mailing Address
Miss BRIANNA DANTA PTA
17130 PRIME BLVD
LOCKPORT, IL 60441-1311
Phone number: 708-518-3508
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