Individual
ERICA ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
333 SMITH AVE N, ST PAUL, MN 55102
(651) 241-8183
Mailing address
614 PORTLAND AVE 305, ST PAUL, MN 55102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7882
MN
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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