Individual
ELISHA NICOLE LENARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 E COLLEGE ST, ENERGY, IL 62933-3568
(618) 942-7014
Mailing address
6939 MACEDONIA RD, THOMPSONVILLE, IL 62890-2915
(618) 308-0667
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160.007955
PTA LICENSE
IL
Enumeration date
08/01/2021
Last updated
08/01/2021
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