Individual
EMMA SHELLENBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1123 GREENLEAF AVE, WILMETTE, IL 60091-2708
(847) 707-6744
Mailing address
PO BOX 416501, BOSTON, MA 02241-6501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.026587
IL
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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