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Individual

MRS. MARIA E COFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
650 N MAIN ST, ROCKFORD, IL 61103-6921
(815) 965-6745
(815) 968-9563
Mailing address
211 N CHICAGO AVE, ROCKFORD, IL 61107-4403
(815) 226-9326

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070-004979
IL

Other

Enumeration date
05/06/2007
Last updated
07/08/2007
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