Individual
MISTY ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3703 WEST LAKE AVENUE, SUITE 200, GLENVIEW, IL 60026-1223
(847) 998-1188
Mailing address
450 NEW MARKET BLVD, STE 3, BOONE, NC 28607-5501
(828) 355-9584
(828) 355-9689
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007320
IL
Other
Enumeration date
04/29/2008
Last updated
09/02/2020
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