Individual
ELAINE JANICE ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8120 PENN AVENUE SOUTH, SUITE 480, BLOOMINGTON, MN 55431
(952) 929-7000
(952) 929-2200
Mailing address
8120 PENN AVENUE SOUTH, SUITE 480, BLOOMINGTON, MN 55431
(952) 929-7000
(952) 929-2200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5080
MN
Other
Enumeration date
11/22/2006
Last updated
02/04/2011
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