Individual
MR. PATRICK JAMES WETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1625 S STATE ST, BELVIDERE, IL 61008-5907
(815) 544-1354
Mailing address
1401 E STATES STREET, ROCKFORD, IL 61104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003979
IL
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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