MATTHEW PHILIP DAVIDSON

ROCKFORD, IL
NPI1427307073
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.019382)
Enumeration Date2012-08-29
Last Update Date2012-08-29
Business Address
-- MATTHEW PHILIP DAVIDSON
5510 E STATE ST
ROCKFORD, IL 61108-2381
Phone number: 815-395-4505
Mailing Address
-- MATTHEW PHILIP DAVIDSON
5510 E STATE ST
ROCKFORD, IL 61108-2381
Phone number:
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