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Individual

MRS. D MAHESWARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2915 LARK RISE, ROCKFORD, IL 61114-6699
(815) 543-4429
Mailing address
2915 LARK RISE, ROCKFORD, IL 61114-6699
(815) 543-4429

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070008608
IL

Other

Enumeration date
12/03/2012
Last updated
12/03/2012
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