Individual
CANDICE ROSE ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
5510 E STATE ST, ROCKFORD, IL 61108-2381
(815) 395-4505
(815) 395-4507
Mailing address
5510 E STATE ST, ROCKFORD, IL 61108-2381
(815) 395-4505
(815) 395-4507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019456
IL
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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