Individual
DANA PATRICK-BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1466 HILL TOP RD, COLUMBIA, IL 62236-4534
(618) 973-7501
Mailing address
1466 HILL TOP RD, COLUMBIA, IL 62236-4534
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116066
MO
225200000X
Physical Therapy Assistant
160.000844
IL
225200000X
Physical Therapy Assistant
AT 6113
CA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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