Weaver, Stacey

Weaver, Stacey is an individual health care provider with primary practice located at 5666 E State St , Rockford IL 61108-2425. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Weaver, Stacey can be contacted via phone (815) 226-2000.

Contact Information

Primary practice address
5666 E State St Rockford IL 61108-2425
Phone: (815) 226-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.019177 Illinois

Profile Details

NPI number 1952849465
LBN Legal business name Weaver, Stacey
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2017
Last updated Feb 3rd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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