Individual
MRS. ELLY NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
429 S BLANCHE ST, MOUNDS, IL 62964-1107
(618) 745-9419
(618) 745-9421
Mailing address
429 S BLANCHE ST, MOUNDS, IL 62964-1107
(618) 745-9419
(618) 745-9421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
06/10/2006
Last updated
07/08/2007
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