Individual
BRANDI DAWN KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14815 FOUNDERS XING, HOMER GLEN, IL 60491-6705
(708) 301-3102
(708) 301-4450
Mailing address
17W735 KIRKLAND LN, VILLA PARK, IL 60181-3751
(630) 881-6332
(708) 301-4450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-009741
IL
Other
Enumeration date
06/14/2006
Last updated
12/08/2010
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