Individual
MRS. TRACY LEIGH ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
139 STATE STREET RD, CANTON, NY 13617-3504
(315) 386-4504
(315) 379-0246
Mailing address
139 STATE STREET RD, CANTON, NY 13617-3504
(315) 386-4504
(315) 379-0246
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0086321
NY
Other
Enumeration date
11/28/2010
Last updated
11/28/2010
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