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Individual

MRS. TRACEE LEIGH ELLWEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
404 E 6TH AVE, LENNOX, SD 57039-2262
(605) 647-2251
Mailing address
404 E 6TH AVE, LENNOX, SD 57039-2262
(605) 647-2251

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1251
SD

Other

Enumeration date
10/09/2007
Last updated
10/09/2007
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