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Individual

AMY LYNN ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
4520 IVANREST AVE SW, GRANDVILLE, MI 49418-9140
(616) 710-5806
(616) 531-2913
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070016591
IL
225100000X
Physical Therapist
Primary
5501012925
MI

Other

Enumeration date
10/25/2006
Last updated
07/21/2022
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