Individual
BRIANNE LESIA MAHEADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3465 BOX HILL CORPORATE CENTER DR, SUITE G, ABINGDON, MD 21009-1261
(410) 569-4806
(410) 569-5474
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24083
MD
Other
Enumeration date
10/23/2014
Last updated
02/16/2015
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