Individual
BRIDGET KATHLEEN MIYASHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21000 S FRANKFORT SQUARE RD, FRANKFORT, IL 60423-9385
(815) 469-1500
Mailing address
12729 S AUBURN AVE, PALOS HEIGHTS, IL 60463-2201
(708) 670-6557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
10/17/2018
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