KELLY WAACK

MOLINE, IL
NPI1811433576
Former NameKELLY DIVITA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  085689)
Enumeration Date2017-01-18
Last Update Date2018-12-12
Business Address
KELLY WAACK DPT
850 43RD AVE SUITE 100
MOLINE, IL 61265-8401
Phone number: 309-743-2070
Mailing Address
KELLY WAACK DPT
850 43RD AVE SUITE 100
MOLINE, IL 61265-8401
Phone number: 309-743-2070
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