Individual
BRIAN PATRICK ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1111 SUPERIOR ST, OUTPATIENT PHYSICAL THERAPY, MELROSE PARK, IL 60160-4138
(708) 938-7408
(708) 938-7955
Mailing address
1111 SUPERIOR ST, OUTPATIENT PHYSICAL THERAPY, MELROSE PARK, IL 60160-4138
(708) 938-7408
(708) 938-7955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.019934
IL
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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