Individual
FORREST REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
100 S MAIN ST, BUFFALO, IL 62515-6225
(217) 502-7253
Mailing address
100 S MAIN ST, BUFFALO, IL 62515-6225
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.001902
IL
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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