Individual
DR. ELIZA CAGUIOA ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-6342
(907) 543-6580
Mailing address
PO BOX 3427, BETHEL, AK 99559-3427
(907) 543-6452
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
103069
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200436060A
—
OK
Enumeration date
04/19/2012
Last updated
08/04/2022
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