Individual
ELISE MARIE DEWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2960 DOCTORS PARK DR, MEDFORD, OR 97504-8127
(541) 789-3770
(541) 789-5372
Mailing address
644 ASHLAND CREEK DR, ASHLAND, OR 97520-2739
(541) 488-7484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5413
OR
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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