Organization
CERTIFIED HAND CENTER OF ROCKFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON K GREEN PT, OMT (OWNER/EXECUTIVE OFFICIAL)
(815) 226-8780
Entity
Organization
Contact information
Practice address
2662 MCFARLAND RD, ROCKFORD, IL 61107-6806
(815) 226-8780
(815) 227-1744
Mailing address
2662 MCFARLAND RD, ROCKFORD, IL 61107-6806
(815) 226-8780
(815) 227-1744
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
01/08/2013
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