Individual
MISS JODY GAYLE ELKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6095
Mailing address
619 N MANDAN ST, BISMARCK, ND 58501-3614
(701) 471-6691
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0964
ND
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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