Andrea Bahan, MPT

NPI #1578038402 in Lebanon, Illinois

Provider Information

NPI Number: 1578038402
Entity Type: Individual
Name: Andrea Bahan, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Oct 8, 2018
Last Updated: Oct 8, 2018

Practice Location

Address: 1 PERRYMAN ST
City: Lebanon
State: Illinois
ZIP Code: 62254-1356
Phone: (618) 537-6165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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