Individual
MRS. CHERYL L ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
610 W WATERS AVE, TAMPA, FL 33604-2951
(813) 931-5452
Mailing address
6908 SEA SHARK CIR, NAVARRE, FL 32566-7408
(850) 619-7767
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22260
FL
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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