Individual
MARCI DILL ELLENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 J BAR SEVEN RANCH RD, RACELAND, LA 70394-2047
(985) 637-0964
Mailing address
270 SUGARWOOD BLVD, HOUMA, LA 70360-8351
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07832
LA
Other
Enumeration date
08/03/2010
Last updated
02/27/2013
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