Individual
BRYCE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 9TH ST STE 201, ROCKFORD, IL 61104-2235
(779) 696-4590
Mailing address
6688 N OAK RD, FREEPORT, IL 61032-9084
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070026766
IL
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
01/22/2019
Last updated
08/02/2022
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