Individual
MR. BRYAN ANDRE' CASCALLARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
537 W WISE RD, SCHAUMBURG, IL 60193-3814
(847) 584-0532
Mailing address
537 W WISE RD, SCHAUMBURG, IL 60193-3814
(847) 584-0532
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
586708-10
IL
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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