Individual
MRS. MICHELE LEANN ELVANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3124 TAFT WAY, COSTA MESA, CA 92626-2708
(562) 397-4871
Mailing address
3124 TAFT WAY, COSTA MESA, CA 92626-2708
(562) 397-4871
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
26731
CA
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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