Individual
DESIREE MARIA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 855-3564
Mailing address
160 THEODORE FREMD AVE, APT B13, RYE, NY 10580-2850
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008491
CT
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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