Elissa Locker

NPI #1922456102 in Benton, Kentucky

Provider Information

NPI Number
1922456102
Entity Type
Individual
Name
Elissa Locker
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Developmental Therapist
Enumeration Date
May 29, 2016
Last Updated
May 29, 2016

Practice Location

Address
114 GREENWOOD PL
City
Benton
ZIP Code
42025-7640
Phone
(270) 703-7398

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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