Individual
BREA ANNE MASCHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 FRANK SCOTT PKWY E, SHILOH, IL 62269-7342
(618) 624-7077
Mailing address
1154 HEARTHSTONE DR, O FALLON, IL 62269-7044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024533
IL
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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