Individual
ELAINE IMONIRUWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25117 SW PARKWAY AVE, STE.D, WILSONVILLE, OR 97070-9697
(971) 224-2040
Mailing address
8646 S INGLESIDE AVE APT 2C, CHICAGO, IL 60619-6373
(989) 996-0060
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006945
IL
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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