Individual
OLIVIA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4060 FOURTH AVE STE 206, SAN DIEGO, CA 92103-2120
(619) 299-5246
Mailing address
3861 WILSON AVE, SAN DIEGO, CA 92104-3107
(781) 974-9648
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52668
CA
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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