KERMALENE MARIE ELLSWORTH

MCHENRY, IL
NPI1306107065
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.004012)
Enumeration Date2012-05-30
Last Update Date2012-05-30
Business Address
Mrs. KERMALENE MARIE ELLSWORTH PTA
5006 MEMORY TRL
MCHENRY, IL 60051-7778
Phone number: 847-497-3264
Mailing Address
Mrs. KERMALENE MARIE ELLSWORTH PTA
5006 MEMORY TRL
MCHENRY, IL 60051-7778
Phone number: 847-497-3264
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