Individual
LORI ANNE ELYASEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MHSA
Contact information
Practice address
4011 JESSE JAMES CT, CARLSBAD, NM 88220-9771
(575) 418-9263
Mailing address
4011 JESSE JAMES CT, CARLSBAD, NM 88220-9771
(575) 418-9263
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3381
NM
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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