Most Relevant Information
Provider Data
NPI Number: | 1003320839 |
Provider Name: | BRIAN WHEELER PT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 23377 |
Most Important Dates
Enumeration Date: | 12/01/2017 |
Last Updated: | 12/01/2017 |
Provider Practice Location
2 ICEHOUSE RD
MEDFIELD
MA
020521555
Practice Location Phone/Fax
Phone: | 5082429478 |
Fax: | 5082429489 |
Provider Mailing Location
790 REMINGTON BLVD
BOLINGBROOK
IL
604404909
Provider Mailing Phone/Fax
Phone: | 6302962222 |
Fax: | 6307599510 |