Individual
MS. AMILIA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
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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