Organization
BRYNWOOD MYOFASCIAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALGORZATA ZASADNY PT (PHYSICAL THERAPIST/OWNER)
(815) 904-6163
Entity
Organization
Contact information
Practice address
6072 BRYNWOOD DR, SUITE 102, ROCKFORD, IL 61114-5829
(815) 904-6163
(815) 904-6516
Mailing address
6072 BRYNWOOD DR, SUITE 102, ROCKFORD, IL 61114-5829
(815) 904-6163
(815) 904-6516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
04/10/2012
Last updated
04/24/2020
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