Brynwood Myofascial Therapy

NPI #1134485501 in Rockford, Illinois

Provider Information

NPI Number: 1134485501
Entity Type: Organization
Organization Name: Brynwood Myofascial Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Apr 10, 2012
Last Updated: Apr 24, 2020

Practice Location

Address: 6072 BRYNWOOD DR
Address 2: SUITE 102
City: Rockford
State: Illinois
ZIP Code: 61114-5829
Phone: (815) 904-6163

Authorized Official

Name: MALGORZATA ZASADNY, PT
Title: PHYSICAL THERAPIST/OWNER
Phone: (815) 904-6163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Physical Therapist	225100000X	Primary

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