NPI 1437316684

The Inspiration and Life Enhancement

Organisation Orthotic Fitter Rockford, IL

Practice location

Address: 2591 N Mulford Rd, Rockford, IL 61114-5643
Phone: (815) 639-9251
Fax: (815) 877-3299

Authorised official

Name: Terri Jean Johnston
Title: President
Phone: (815) 639-9251

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence 011.167276 (IL)

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Registry record

NPI: 1437316684
Entity type: Organization
NPI issued: 16 May 2008
Record last updated: 25 Aug 2008

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.