Individual
CASSIDY BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
212 BARNEY DR, JOLIET, IL 60435-5272
(815) 725-2194
Mailing address
212 BARNEY DR, JOLIET, IL 60435-5272
(815) 725-2194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024353
IL
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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