Individual
ELISSA GUMIRAN LAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 E SHAWNEE DR, MURPHYSBORO, IL 62966-7048
(618) 684-8018
(618) 684-3328
Mailing address
6 E SHAWNEE DR, MURPHYSBORO, IL 62966-7048
(618) 684-8018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.023339
IL
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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