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Organization
MYOFASCIAL THERAPY CENTER AT ROCKFORD, LLC
Active
Organization
MYOFASCIAL THERAPY CENTER AT ROCKFORD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL MARK PATRNCHAK PT (PHYSICAL THERAPIST OWNER)
(815) 399-5734
Entity
Organization
Contact information
Practice address
421 S MULFORD RD, ROCKFORD, IL 61108-3009
(815) 399-5734
Mailing address
421 S MULFORD RD, ROCKFORD, IL 61108-3009
(815) 399-5734
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0700002325
IL
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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