Individual
NANCY A HUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 GRIGGS RD, ROCKFORD, IL 61108-4582
(815) 505-1480
Mailing address
1131 GRIGGS RD, ROCKFORD, IL 61108-4582
(815) 505-1480
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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