Individual
MRS. BROOKE HAYLEY BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 W WASHINGTON AVE, CHRISMAN, IL 61924-1042
(217) 269-2105
(217) 269-2108
Mailing address
1208 BERRY ST, DENNISON, IL 62423-2109
(217) 463-2572
(217) 465-6380
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004229
IL
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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