MRS. Stephanie Brackett, PHYSICAL THERAPIST

NPI #1700137858 in Melrose Park, Illinois

Provider Information

NPI Number: 1700137858
Entity Type: Individual
Name: MRS. Stephanie Brackett, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Sep 28, 2012
Last Updated: Sep 28, 2012

Practice Location

Address: 1225 W LAKE ST
City: Melrose Park
State: Illinois
ZIP Code: 60160-4039
Phone: (708) 938-7514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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