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Individual

JENNIFER BEARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
7130 CRIMSON RIDGE DR, ROCKFORD, IL 61107-6222
(815) 395-1452
Mailing address
718 NORTHRIDGE CT, BELVIDERE, IL 61008-2036
(815) 494-3119

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
070007958
IL

Other

Enumeration date
02/26/2009
Last updated
02/26/2009
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