Individual
MRS. ELISA MARIE FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4604 LOWE RD, LOUISVILLE, KY 40220-1514
(502) 451-1401
Mailing address
4604 LOWE RD, LOUISVILLE, KY 40220-1514
(502) 451-1401
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A01820
KY
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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