Individual
MRS. BRITTANY ELMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
209 9TH ST STE 201, ROCKFORD, IL 61104-2235
(779) 696-4590
Mailing address
4129 CORNFLOWER RD, POPLAR GROVE, IL 61065-7511
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005512
IL
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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