Individual
ELISE FINNERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000282
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160000282
PHYSICAL THERAPY ASSISTANT
IL
Enumeration date
10/23/2020
Last updated
10/23/2020
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