Individual
JANICE ELSENRAAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2532 LEMAY FERRY RD, SAINT LOUIS, MO 63125-3131
(314) 845-0068
Mailing address
2517 LOMBARD LN, IMPERIAL, MO 63052-2055
(636) 461-0043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003006153
LICENSE #
MO
Enumeration date
08/25/2006
Last updated
07/08/2007
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