Individual
GRACE BREITBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
9901 N KNOXVILLE AVE STE D, PEORIA, IL 61615-1433
(309) 243-1989
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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