Individual
BRANDI N. RUZICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
320 N. MADISON, PITTSFIELD, IL 62363
(217) 285-9601
Mailing address
320 N. MADISON, PITTSFIELD, IL 62363
(217) 285-9601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016293
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070016293
ILLINOIS LICENSE NUMBER
—
Enumeration date
03/28/2008
Last updated
08/26/2013
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