Individual
MRS. COLETTE MARIE ROSSI-LUEBKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4304 TALLWOOD AVE, ROCKFORD, IL 61114-6053
(815) 282-3832
Mailing address
4304 TALLWOOD AVE, ROCKFORD, IL 61114-6053
(815) 282-3832
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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