Organization
SAINT ANTHONY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY OHMSTEDE P.T. (PHYSICAL THERAPIST)
(507) 226-4190
Entity
Organization
Contact information
Practice address
5510 E STATE ST, ROCKFORD, IL 61108-2381
(815) 395-4505
Mailing address
5510 E STATE ST, ROCKFORD, IL 61108-2381
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
070.013442
IL
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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