Individual
JULIETTE RACHEL ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
433 OAKDALE AVE, GLENCOE, IL 60022-2112
(847) 602-5016
Mailing address
433 OAKDALE AVE, GLENCOE, IL 60022-2112
(847) 602-5016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070008366
IL
2251P0200X
Pediatric Physical Therapist
Primary
070008366
IL
Other
Enumeration date
09/11/2007
Last updated
09/09/2015
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