Individual
MS. ANNA ELAINE CONSOLACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
101 N ALPINE RD, ROCKFORD, IL 61107-4901
(779) 423-1700
Mailing address
3009 ROBERTS DR, WOODRIDGE, IL 60517-1519
(407) 967-8065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018857
IL
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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