Individual
PATRICIA ANN BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
3530 W WILLOW KNOLLS DR, PEORIA, IL 61614-1010
(309) 839-8358
Mailing address
3530 W WILLOW KNOLLS DR, PEORIA, IL 61614-1010
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.015269
IL
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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