Individual
ILENE SIMONE EMBRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7585 WRENVIEW DR, SPRINGFIELD, OH 45502-8412
(937) 831-6555
(937) 964-8435
Mailing address
7585 WRENVIEW DR, SPRINGFIELD, OH 45502-8412
(937) 831-6555
(937) 964-8435
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
33.015665
OH
Other
Enumeration date
07/16/2009
Last updated
02/24/2015
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