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Individual

ELLEN M MOLENAAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2121 W INDIAN TRAIL ROAD, AURORA, IL 60506-1613
(630) 907-9012
(630) 907-9013
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-3251

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019233
IL

Other

Enumeration date
07/24/2012
Last updated
09/04/2012
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