Individual
MRS. JAMIE LYNN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
405 RIO VISTA LN, RISING SUN, IN 47040-9497
(812) 438-2219
Mailing address
405 RIO VISTA LN, RISING SUN, IN 47040-9497
(812) 438-2219
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002326A
IN
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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