Individual
MRS. ELIZABETH MARIA ANZELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3270 INTERTECH DRIVE, ANGOLA, IN 46703
(260) 668-7752
(260) 668-7552
Mailing address
95 LANE 650 D SNOW LAKE, FREMONT, IN 46737
(260) 833-6421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004428A
IN
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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