MARK BRYAN

FREEPORT, IL
NPI1467549493
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070012062)
Enumeration Date2006-10-10
Last Update Date2007-07-08
Business Address
-- MARK BRYAN PT
1763 S DIRCK DR
FREEPORT, IL 61032-6707
Phone number: 815-233-5100
Mailing Address
-- MARK BRYAN PT
421 PLEASANT ST
ELIZABETH, IL 61028
Phone number: 815-858-9625