Brianna Mayo, D.P.T. Valid NPI
Individual provider · Physical Therapist · O Fallon, IL
- NPI
- 1326399643
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- PT 2983 (AR)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2012-09-26
- Last updated
- 2014-02-17
Practice location
1101 Edgewood Dr
O Fallon, IL 62269-3721
(850) 322-6182