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1952849465
STACEY WEAVER
ROCKFORD, IL
NPI
1952849465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.019177)
Enumeration Date
2017-02-03
Last Update Date
2017-02-03
Business Address
-- STACEY WEAVER PT, DPT
5666 E STATE ST
ROCKFORD, IL 61108-2425
Phone number: 815-226-2000
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Mailing Address
-- STACEY WEAVER PT, DPT
5666 E STATE ST
ROCKFORD, IL 61108-2425
Phone number:
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