Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Apr 15, 2009
License(s)
070015126 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4141 N ROCKTON AVE | Rockford, IL 61103-1524 | 815-316-1519 |
| LOCATION | 4141 N ROCKTON AVE | Rockford, IL 61103-1524 | 815-316-1519 |
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