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Individual

ELLIE NICOLE SENICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2111 MIDLANDS CT STE 203, SYCAMORE, IL 60178-3125
(815) 758-0000
Mailing address
2144 E 550TH RD, OGLESBY, IL 61348-9646
(815) 830-9472

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070027122
IL

Other

Enumeration date
11/28/2022
Last updated
11/28/2022
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