Individual
MORGAN MONTANA JANAI BRISBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4450 N PROSPECT RD STE C5, PEORIA HEIGHTS, IL 61616-6578
(309) 363-7594
Mailing address
4450 N PROSPECT RD STE C5, PEORIA HEIGHTS, IL 61616-6578
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009616
IL
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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