Individual
ELIE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 KANSAS AVE, SAINT CLOUD, FL 34769-5921
(407) 891-5121
Mailing address
1156 ROAN CT, KISSIMMEE, FL 34759-7030
(407) 953-5605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23831
FL
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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