Individual
EMILY DITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
324 ROXBURY RD, ROCKFORD, IL 61107-5090
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070027549
IL
Other
Enumeration date
04/14/2023
Last updated
08/03/2023
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