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Individual

JESSE ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1485 NE 7TH ST, GRANTS PASS, OR 97526
(541) 479-6936
(541) 479-6939
Mailing address
PO BOX 2630, GRANTS PASS, OR 97528-0239
(541) 479-6936
(541) 479-6939

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4659
OR

Other

Enumeration date
07/06/2006
Last updated
05/29/2018
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