Organization
ELLIOTT PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN ROSE ELLIOTT PT, DPT (PRESIDENT/PHYSICAL THERAPIST)
(714) 404-9474
Entity
Organization
Contact information
Practice address
518 VANDERBILT DR, PLACENTIA, CA 92870-5118
(714) 404-9474
Mailing address
518 VANDERBILT DR, PLACENTIA, CA 92870-5118
(714) 404-9474
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT32490
CA
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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