KODY SCHUCKMAN

ROCKFORD, IL
NPI1780033878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070019754)
Enumeration Date2016-06-09
Last Update Date2016-06-09
Business Address
-- KODY SCHUCKMAN
5666 E STATE ST
ROCKFORD, IL 61108-2425
Phone number: 815-395-5165
Mailing Address
-- KODY SCHUCKMAN
5666 E STATE ST
ROCKFORD, IL 61108-2425
Phone number:
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