ADAM CARLSON

ROCKFORD, IL
NPI1780080846
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-018498)
Enumeration Date2014-11-17
Last Update Date2021-12-13
Business Address
ADAM CARLSON DPT
324 ROXBURY RD
ROCKFORD, IL 61107-5090
Phone number: 815-398-9491
Mailing Address
ADAM CARLSON DPT
BOX 78534
MILWAUKEE, WI 53278-8534
Phone number: 815-398-9491