STACEY WEAVER

ROCKFORD, IL
NPI1952849465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.019177)
Enumeration Date2017-02-03
Last Update Date2017-02-03
Business Address
-- STACEY WEAVER PT, DPT
5666 E STATE ST
ROCKFORD, IL 61108-2425
Phone number: 815-226-2000
Mailing Address
-- STACEY WEAVER PT, DPT
5666 E STATE ST
ROCKFORD, IL 61108-2425
Phone number: