Individual
ADAM JOSEPH STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 9TH ST, ROCKFORD, IL 61104-2235
(779) 696-4590
Mailing address
209 9TH ST, ROCKFORD, IL 61104-2235
(779) 696-4590
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007224
IL
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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