Individual
ERIN ELAINE MCILROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
201 SW 14TH ST STE 205, BENTONVILLE, AR 72712-7771
(419) 204-2465
(479) 282-0412
Mailing address
506 SHADY ACRES LN, PRAIRIE GROVE, AR 72753-2507
(419) 204-2465
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4269
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165825742
—
AR
Enumeration date
04/25/2017
Last updated
10/28/2021
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