Organization
BREATH OF LIFE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIZZARRO JUAN PICKETT CRT,RCP (RESPIRATORY THERAPIST)
(309) 645-7430
Entity
Organization
Contact information
Practice address
2201 SW ADAMS ST, PEORIA, IL 61602-1803
(309) 676-5645
Mailing address
1418 W GIFT AVE, PEORIA, IL 61604-2559
(309) 686-7135
(309) 686-7133
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
—
IL
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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