Individual
ELISE WIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 S POTOMAC ST STE 400, AURORA, CO 80012-4540
(303) 481-0620
Mailing address
11124 CRESTMONT DR, RALEIGH, NC 27613-5910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19214
NC
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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