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Individual

JANE KATHLEEN BRILLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1150 GRAHAM RD, SUITE 104, FLORISSANT, MO 63031-8077
(314) 953-6734
Mailing address
1150 GRAHAM RD, SUITE 104, FLORISSANT, MO 63031-8077
(314) 953-6734

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070002978
IL
225100000X
Physical Therapist
Primary
2008035005
MO

Other

Enumeration date
09/10/2012
Last updated
09/10/2012
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