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1730705732
KRISTA L CARLSON
ROCKFORD, IL
NPI
1730705732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070025089)
Enumeration Date
2020-06-25
Last Update Date
2023-08-14
Business Address
KRISTA L CARLSON DPT
324 ROXBURY RD
ROCKFORD, IL 61107-5090
Phone number: 815-381-7322
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Mailing Address
KRISTA L CARLSON DPT
PO BOX 735263
CHICAGO, IL 60673-5263
Phone number:
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