Individual
MRS. ELVIE KELLY WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
940 YORK DR, DESOTO, TX 75115-2042
(972) 331-4554
Mailing address
940 YORK DR, DESOTO, TX 75115-2042
(972) 331-4554
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2075313
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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