Individual
MRS. HEATHER BRULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPL
Contact information
Practice address
650 N MAIN ST, ROCKFORD, IL 61103-6921
(815) 965-6745
(815) 968-9563
Mailing address
207 W WINNEBAGO ST, WINNEBAGO, IL 61088-8584
(815) 335-2352
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.006239
IL
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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