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Individual

DR. BEVERLY ELLIOTT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
8253 US HIGHWAY 51 N, SUITE 102, MILLINGTON, TN 38053-1727
(901) 872-6422
(901) 872-6497
Mailing address
3449 NORTHWOOD DR, MEMPHIS, TN 38111-4763
(901) 452-2648

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6621
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00446628
TN
Enumeration date
04/11/2006
Last updated
07/08/2007
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