Individual
DAWN M MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6451 EAST RIVERSIDE BLVD, SUITE 103, ROCKFORD, IL 61114
(815) 639-9900
Mailing address
6451 E. RIVERSIDE BLVD., #103, ROCKFORD, IL 61114
(815) 639-9900
(815) 639-9860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.004473
IL
225700000X
Massage Therapist
227.015797
IL
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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