Individual
ELS DEJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1069 SHELDON FLATS RD, LIBBY, MT 59923-8967
(406) 283-1003
Mailing address
1069 SHELDON FLATS RD, LIBBY, MT 59923-8967
(406) 283-1003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
944
MT
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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