Individual
ANDREA ELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1507 W KNAPP ST UNIT 1, RICE LAKE, WI 54868-1384
(715) 236-3610
(715) 236-3615
Mailing address
1507 W KNAPP ST UNIT 1, RICE LAKE, WI 54868-1384
(715) 236-3610
(715) 236-3615
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2318
WI
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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