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1003000555
MANISHA AJIT PATEL
ROCKFORD, IL
NPI
1003000555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.01425)
Enumeration Date
2007-08-28
Last Update Date
2007-08-28
Business Address
Mrs. MANISHA AJIT PATEL DPT
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 815-489-4470
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Mailing Address
Mrs. MANISHA AJIT PATEL DPT
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 815-489-4470
Copy
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