NPI 1063008639
Mobile Physical Therapy
Practice location
- Address
- 1231 N Johnston Ave, Rockford, IL 61101-2544
- Phone
- (773) 746-3660
- Fax
- (773) 326-3604
Authorised official
- Name
- Rashawn White
- Title
- Doctor of Physical Therapy
- Phone
- (773) 746-3660
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1063008639
- Entity type
- Organization
- NPI issued
- 17 Dec 2020
- Record last updated
- 17 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.