Individual
ELLEN DEGEN MILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
219 E VANDALIA ST, EDWARDSVILLE, IL 62025-1766
(618) 659-9666
(618) 659-9668
Mailing address
219 E VANDALIA ST, EDWARDSVILLE, IL 62025-1766
(618) 624-9300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014954
IL
Other
Enumeration date
12/09/2009
Last updated
03/06/2012
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