Individual
ADAM CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
324 ROXBURY RD, ROCKFORD, IL 61107-5090
(815) 398-9491
Mailing address
BOX 78534, MILWAUKEE, WI 53278-8534
(815) 398-9491
(815) 381-7498
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-018498
IL
Other
Enumeration date
11/17/2014
Last updated
12/13/2021
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