Individual
MRS. BARBARA ANN BRESSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
14694 LORIS PL, SOUTH BELOIT, IL 61080-2377
(815) 389-0058
(815) 389-0058
Mailing address
14694 LORIS PL, SOUTH BELOIT, IL 61080-2377
(815) 389-0058
(815) 389-0058
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
BB78080996P
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BB78080996P
EI PROVIDER NUMBER
IL
Enumeration date
02/24/2007
Last updated
07/08/2007
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