Brian Staron

NPI #1164696589 in Burbank, Illinois

Provider Information

NPI Number: 1164696589
Entity Type: Individual
Name: Brian Staron
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Apr 16, 2008
Last Updated: Aug 28, 2015

Practice Location

Address: 8223 MOBILE AVE
City: Burbank
State: Illinois
ZIP Code: 60459-1861
Phone: (630) 726-5374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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