Individual
ANN LICARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4123 SINGLETON RD, ROCKFORD, IL 61114-6159
(815) 978-4535
Mailing address
4123 SINGLETON RD, ROCKFORD, IL 61114-6159
(815) 978-4535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0560003025
IL
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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