Individual
ERIC GABRIEL ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
340 E MAPLE AVE, SUITE 204 C, LANGHORNE, PA 19047-2850
(267) 535-0123
Mailing address
810 W FIRTH ST, PHILADELPHIA, PA 19133-1909
(267) 535-0123
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG007283
PA
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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