Individual
JODY M. ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5951 COLONIAL DR, MARGATE, FL 33063-5661
(954) 979-6401
Mailing address
PO BOX 2263, HALLANDALE, FL 33008-2263
(305) 542-0458
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1969
FL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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