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1588071260
BRANDI J LEWIS
NORTHFIELD, IL
NPI
1588071260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160006468)
Enumeration Date
2014-07-15
Last Update Date
2014-07-15
Business Address
-- BRANDI J LEWIS PTA
550 W FRONTAGE RD STE 2415
NORTHFIELD, IL 60093-1212
Phone number: 877-787-3422
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Mailing Address
-- BRANDI J LEWIS PTA
230 APPLE TREE DR
URBANA, IL 61802-7371
Phone number:
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