Individual
WENDY BRUNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
18425 W WEST CREEK DR, TINLEY PARK, IL 60477-6767
(708) 532-1337
(708) 532-1899
Mailing address
4408 142ND ST, CRESTWOOD, IL 60445-2204
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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