Myofascial Therapy Center at Rockford, LLC

NPI #1841473014 in Rockford, Illinois

Provider Information

NPI Number: 1841473014
Entity Type: Organization
Organization Name: Myofascial Therapy Center at Rockford, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 11, 2007
Last Updated: Dec 11, 2007

Practice Location

Address: 421 S MULFORD RD
City: Rockford
State: Illinois
ZIP Code: 61108-3009
Phone: (815) 399-5734

Authorized Official

Name: MR. CARL MARK PATRNCHAK, PT
Title: PHYSICAL THERAPIST OWNER
Phone: (815) 399-5734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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