NPI 1013454057

Laura Carroll, PTDPT

Practitioner Physical Therapist Rockford, IL

Practice location

Address: 5666 E State St, Rockford, IL 61108-2425
Phone: (815) 226-2000
Mailing address: 7344 Mabels Way, Loves Park, IL 61111-5375

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 070019496 (IL)

Other Physical Therapist providers in Illinois →

Registry record

NPI: 1013454057
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2017
Record last updated: 26 Feb 2017

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.