Individual
CAROL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
999 RAINTREE CIR, ALLEN, TX 75013
(972) 390-8088
Mailing address
1420 W MCDERMOTT DR APT 1411, ALLEN, TX 75013-3316
(702) 460-3394
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2075873
TX
225200000X
Physical Therapy Assistant
A-0228
NV
Other
Enumeration date
05/20/2013
Last updated
08/08/2018
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