Individual
MRS. AMBER K BRAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
411 S COURT ST, MARION, IL 62959-2711
(618) 993-2138
(618) 997-3950
Mailing address
411 S COURT ST, MARION, IL 62959-2711
(618) 699-3213
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004393
IL
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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