Individual
ELIZABETH ANNE OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(800) 278-0332
Mailing address
5059 QUAIL RUN RD, APT 65, RIVERSIDE, CA 92507-0406
(919) 368-8630
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT9479
CA
Other
Enumeration date
03/28/2007
Last updated
04/26/2011
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