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Search › Illinois › 225X00000X

Tondalaya Brainard, MSOT

NPI 1588158695 · on the registry since 2018

Practice

Address
4817 E Rockton Rd Unit 1100
Roscoe, IL 61073
Phone
(815) 704-0104
Fax
(815) 491-8208
Organisation at this address
Athletico Ltd
Accelerated Rehabilitation Centers, Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois