Individual
MR. JASON ROBERT ELGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
N4838 THUNDER RD, MONROE, WI 53566-8751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6503-024
WI
225100000X
Physical Therapist
—
IL
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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