Individual
MS. ELYSE NICOLE FEINHALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCLS
Contact information
Practice address
621 ILLINOIS ST, EAST PEORIA, IL 61611-4722
(309) 643-3724
Mailing address
621 ILLINOIS ST, EAST PEORIA, IL 61611-4722
(309) 643-3724
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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