NPI 1114307311

Jayda Brink

Practitioner Developmental Therapist Carbondale, IL

Practice location

Address: 800 E Grand Ave APT. 40b, Carbondale, IL 62901-3509
Phone: (618) 314-2607

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

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Registry record

NPI: 1114307311
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2015
Record last updated: 2 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.