Individual
BRANDON ENGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2375 SHILOH DR, AURORA, IL 60503-6285
(309) 738-1465
Mailing address
2375 SHILOH DRIVE, AURORA, IL 60503
(309) 738-1465
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005543
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E524-0748-4226
DRIVERS LICENSE NUMBER
IL
Enumeration date
07/18/2015
Last updated
07/18/2015
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