MRS. Brooke Hayley Bishop, PTA

NPI #1417119504 in Chrisman, Illinois

Provider Information

NPI Number: 1417119504
Entity Type: Individual
Name: MRS. Brooke Hayley Bishop, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 30, 2008
Last Updated: Jun 30, 2008

Practice Location

Address: 400 W WASHINGTON AVE
City: Chrisman
State: Illinois
ZIP Code: 61924-1042
Phone: (217) 269-2105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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