Individual
BRIANNA J OVERBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
3550 COLLEGE AVE, ALTON, IL 62002-5008
(618) 465-6566
(618) 465-6573
Mailing address
905 LANGDON ST, ALTON, IL 62002-3653
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
160.005005
IL
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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