Individual
ELISSA FJELDHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9385 W DONALD DR, PEORIA, AZ 85383-2988
(407) 446-5854
Mailing address
2026 E PATRICK LN, PHOENIX, AZ 85024-7538
(407) 446-5854
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007077
AZ
Other
Enumeration date
08/05/2018
Last updated
08/05/2018
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