Individual
EMILY ROSE ELLERBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
255 GLENDALE AVE STE 12, SPARKS, NV 89431-5777
(775) 356-8181
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3657
NV
225100000X
Physical Therapist
62472
OR
225100000X
Physical Therapist
Primary
CP027858T
WV
225100000X
Physical Therapist
PT-5346
ID
225100000X
Physical Therapist
PT016868
OH
Other
Enumeration date
10/31/2017
Last updated
02/05/2024
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