Individual
BRET TIBAY PELESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
410 N 2ND ST, MARSHALL, IL 62441-1010
(217) 826-2358
Mailing address
102 BROSMAN LN APT 2, MARSHALL, IL 62441-1096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070027209
IL
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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