Individual
AMI ELISEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4575 EDWARDS LN, CASTRO VALLEY, CA 94546-4734
(773) 682-1426
Mailing address
4575 EDWARDS LN, CASTRO VALLEY, CA 94546-4734
(773) 682-1426
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9091
CA
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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