Individual
ELANA TREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13933 W GRAND AVE, SURPRISE, AZ 85374-2435
(623) 474-3952
Mailing address
3222 N 198TH DR, BUCKEYE, AZ 85396-5468
(623) 336-0776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT32996
AZ
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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