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1649822917
BRANDON TYLER FRITZ
PEORIA, IL
NPI
1649822917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070024402)
Enumeration Date
2019-07-16
Last Update Date
2021-11-12
Business Address
BRANDON TYLER FRITZ PT
6000 N ALLEN RD
PEORIA, IL 61614-3294
Phone number: 309-691-1400
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Mailing Address
BRANDON TYLER FRITZ PT
6000 N ALLEN RD
PEORIA, IL 61614-3294
Phone number: 309-691-1400
Copy
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