Individual
ELIZABETH STAFFORD ELCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
3334 CAPITAL MEDICAL BLVD STE 300, TALLAHASSEE, FL 32308-4470
(850) 877-8174
(850) 877-5636
Mailing address
3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
(850) 877-8174
(850) 877-5636
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002805600
—
FL
Enumeration date
09/01/2010
Last updated
04/15/2015
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