Individual
LISA AHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5970 CHURCHVIEW DR, ROCKFORD, IL 61107-2574
(815) 971-2000
Mailing address
1114 BENBROOK DR, LOVES PARK, IL 61111-8977
(815) 971-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056003815
IL
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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