Individual
ELISA MILLER PESTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2450 VILLAGE PROFESSIONAL DR N, OPELIKA, AL 36801-4734
(334) 740-1438
Mailing address
1043 CORNSTALK LN, AUBURN, AL 36830-3259
(334) 740-1438
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2660
AL
Other
Enumeration date
12/10/2008
Last updated
02/09/2011
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