Individual
THERESA A ELWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
413 E. TREMAINE AVE, GILBERT, AZ 85234
(317) 313-4021
Mailing address
413 E. TREMAINE AVE, GILBERT, AZ 85234
(317) 313-4021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5804
AZ
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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