Individual
MS. AMILIA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
400 CRATER LAKE AVE, MEDFORD, OR 97504-6808
(505) 756-8391
Mailing address
PO BOX 1268, ASHLAND, OR 97520-0043
(505) 756-8391
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
PHYSICAL THER. 2983
NM
225100000X
Physical Therapist
Primary
3946
OR
Other
Enumeration date
10/10/2006
Last updated
10/19/2023
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