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1154538007
ELISE MARIE ANDERSON
LINCOLN, IL
NPI
1154538007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 160-000990)
Enumeration Date
2007-05-17
Last Update Date
2012-06-13
Business Address
Ms. ELISE MARIE ANDERSON LPTA
200 STAHLHUT DR
LINCOLN, IL 62656-5066
Phone number: 217-605-5503
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Mailing Address
Ms. ELISE MARIE ANDERSON LPTA
217 N GILLETT ST
ELKHART, IL 62634-6002
Phone number: 217-415-6893
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