Dr. Breeannon Carlson
Dr. Breeannon Carlson is a Physical Therapist in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
Practice location Address checks out
5510 E State StRockford, IL 61108-2381
Phone: (815) 395-4505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 070020713 (IL) |
|---|
Record details
| NPI number | 1992112486 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 16, 2014 |
| Last updated in NPPES | July 16, 2014 |
| Mailing address | 5510 E State St, Rockford, IL 61108-2381 |
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