Individual
MR. JOHN EDGAR ELAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L, CHT
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-4504
(910) 740-8610
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(910) 740-8610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10461
NC
Other
Enumeration date
07/12/2013
Last updated
02/03/2025
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