Individual
ELPIDIA VICTORIA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10600 HAMLIN WAY, CHESTER, VA 23831
(915) 240-1997
Mailing address
10600 HAMLIN WAY, CHESTER, VA 23831
(915) 240-1997
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006740
VA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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