Organization
THE INSPIRATION AND LIFE ENHANCEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI JEAN JOHNSTON (PRESIDENT)
(815) 639-9251
Entity
Organization
Contact information
Practice address
2591 N MULFORD RD, ROCKFORD, IL 61114-5643
(815) 639-9251
(815) 877-3299
Mailing address
2591 N MULFORD RD, ROCKFORD, IL 61114-5643
(815) 639-9251
(815) 877-3299
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
011.167276
IL
Other
Enumeration date
05/16/2008
Last updated
08/25/2008
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