Brenda J Tatham, PTA

NPI #1851531495 in Freeport, Illinois

Provider Information

NPI Number: 1851531495
Entity Type: Individual
Name: Brenda J Tatham, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 23, 2009
Last Updated: Feb 23, 2009

Practice Location

Address: 1010 FAIRWAY DR
City: Freeport
State: Illinois
ZIP Code: 61032
Phone: (815) 599-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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