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Individual

BRENDA CHUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Mailing address
1241 WOODLAND CT SE, CONYERS, GA 30013-3061
(770) 922-9193

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1415
WY
225100000X
Physical Therapist
Primary
PT001890
GA
225100000X
Physical Therapist
PTP-PT-LIC 3577
MT

Other

Enumeration date
05/11/2012
Last updated
02/02/2024
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