Individual
CASEY MARIE BRUNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6901 N GALENA RD, PEORIA, IL 61614-3193
(309) 692-4600
Mailing address
332 E MAYWOOD ST, MORTON, IL 61550-2875
(309) 202-7191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.026906
IL
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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