Individual
JEFFREY ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR, CHT
Contact information
Practice address
9768 LIBERTY DR, PAINTED POST, NY 14870-9094
(607) 937-4800
Mailing address
11761 LOWER DR, CORNING, NY 14830-3676
(607) 857-0885
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
8794
NY
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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