Individual
JON ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 428-7000
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
094605
IA
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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