Lisa Haverkamp, PT

NPI #1104375245 in Rock Island, Illinois

Provider Information

NPI Number: 1104375245
Entity Type: Individual
Name: Lisa Haverkamp, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 30, 2016
Last Updated: Sep 30, 2016

Practice Location

Address: 4112 46TH AVE
City: Rock Island
State: Illinois
ZIP Code: 61201-7166
Phone: (309) 779-2828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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