Individual
BRITTANI NICOLE ELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N PRICE ST, MASON CITY, IL 62664-9600
(217) 482-5022
Mailing address
427 E MAIN ST # 94, EASTON, IL 62633-9326
(217) 737-0354
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007753
IL
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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