Individual
ALEXSANDRA M BRASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
810 W ANTHONY DR, URBANA, IL 61802-7431
(217) 326-2255
(217) 326-0210
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024655
IL
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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