JAMES BRYAN FOUNTAIN

JOLIET, IL
NPI1922875087
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.008370)
Enumeration Date2023-12-08
Last Update Date2023-12-08
Business Address
Mr. JAMES BRYAN FOUNTAIN PTA
2320 W JEFFERSON ST
JOLIET, IL 60435-6427
Phone number: 815-741-3758
Mailing Address
Mr. JAMES BRYAN FOUNTAIN PTA
2320 W JEFFERSON ST
JOLIET, IL 60435-6427
Phone number: 815-741-3758
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