Individual
ELLEN J RULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2911 EAGLE POINTE RD, GODFREY, IL 62035-4702
(618) 466-9110
Mailing address
2911 EAGLE POINTE RD, GODFREY, IL 62035-4702
(618) 466-9110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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