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1922126135
KELLY ANNE PETERS
ROCKFORD, IL
NPI
1922126135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070014556)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- KELLY ANNE PETERS DPT
950 S MULFORD RD
ROCKFORD, IL 61108-4274
Phone number: 815-381-8512
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Mailing Address
-- KELLY ANNE PETERS DPT
1473 STONY CREEK WAY APT 1
ROCKFORD, IL 61108-1205
Phone number: 414-379-8928
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