Individual
JAN MCELROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3420 WOODRAIL TER, COLUMBIA, MO 65203-0926
(573) 442-7971
Mailing address
3420 WOODRAIL TER, COLUMBIA, MO 65203-0926
(573) 442-7971
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
00452
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4869666667417
—
MO
Enumeration date
07/18/2007
Last updated
07/18/2007
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