Individual
ELISA CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
180 STATE ST STE 225, SOUTHLAKE, TX 76092-7632
(405) 238-0825
Mailing address
180 STATE ST STE 225, SOUTHLAKE, TX 76092-7632
(405) 238-0825
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1386904
TX
Other
Enumeration date
03/19/2021
Last updated
05/06/2024
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