Individual
ELISE MARIE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1892
(602) 277-5551
Mailing address
388 S 151ST AVE, GOODYEAR, AZ 85338-2950
(269) 788-4804
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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