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Individual

MISS BREE ANN RENTFRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, PTA, ATC

Contact information

Practice address
100 197TH PL, CHICAGO HEIGHTS, IL 60411-7539
(708) 755-3020
Mailing address
16015 APPLEWOOD LN APT 107, ORLAND HILLS, IL 60487-3184
(708) 845-1904

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001825
IL
2255A2300X
Athletic Trainer
96001164
IL

Other

Enumeration date
03/14/2006
Last updated
07/22/2009
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