Individual
MRS. BRENDA JOY VAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-0002
(217) 544-6464
(217) 757-6545
Mailing address
800 E CARPENTER, SPRINGFIELD, IL 62769-0001
(217) 544-6464
(217) 757-6545
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
IL
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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