Individual
BRENDA CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTAL
Contact information
Practice address
3132 OLD JACKSONVILLE RD, SUITE 140, SPRINGFIELD, IL 62704-7400
(217) 862-0400
Mailing address
1053 W VINE ST, SPRINGFIELD, IL 62704-2826
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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