Individual
MRS. MALLORY LORETTA ELTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3735 ROAD V, NELSON, NE 68961-8727
(402) 984-9169
Mailing address
3735 ROAD V, NELSON, NE 68961-8727
(402) 984-9169
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
816
NE
Other
Enumeration date
12/22/2007
Last updated
12/22/2007
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