Individual
ELITTA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA26445
Contact information
Practice address
5952 NW CULEBRA AVE, PORT SAINT LUCIE, FL 34986-3683
(305) 753-7270
Mailing address
5952 NW CULEBRA AVE, PORT SAINT LUCIE, FL 34986-3683
(305) 753-7270
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26445
FL
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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