Doctor Name: | ELLEN DEGEN MILTON |
NPI Number: | 1649509324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 070014954 |
Business Practice Address: | 219 E Vandalia St Edwardsville, IL - 620251766 |
Business Phone Number: | 6186599666 |
Business Fax Number: | 6186599668 |
Mailing Address: | 219 E Vandalia St, EDWARDSVILLE |
State: | IL |
Postal Code: | 620251766 |
Phone Number: | 6186249300 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2009 |
NPI Last Update Date: | 03/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070014954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |