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1780080846
ADAM CARLSON
ROCKFORD, IL
NPI
1780080846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-018498)
Enumeration Date
2014-11-17
Last Update Date
2021-12-13
Business Address
ADAM CARLSON DPT
324 ROXBURY RD
ROCKFORD, IL 61107-5090
Phone number: 815-398-9491
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Mailing Address
ADAM CARLSON DPT
BOX 78534
MILWAUKEE, WI 53278-8534
Phone number: 815-398-9491
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