Most Relevant Information
Provider Data
| NPI Number: | 1003370461 |
| Provider Name: | BROOKE HASIER PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 160.008222 |
Most Important Dates
| Enumeration Date: | 01/29/2019 |
| Last Updated: | 01/29/2019 |
Provider Practice Location
521 E NORTH ST
BRADLEY
IL
609151258
Practice Location Phone/Fax
| Phone: | 8157252194 |
| Fax: |
Provider Mailing Location
24805 S DERBY GLEN LN
MONEE
IL
604498980
Provider Mailing Phone/Fax
| Phone: | 7085348628 |
| Fax: |