Individual
MR. BENJAMIN J. GULOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3401 N. PERRYVILLE RD., ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 61114
(815) 971-2000
Mailing address
3401 N. PERRYVILLE RD, ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 61114
(815) 971-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070008382
IL
Other
Enumeration date
04/24/2007
Last updated
10/02/2013
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