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Individual

ELSBETH WELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
5401 W PLACITA DE LA PROMESA, TUCSON, AZ 85745-9541
(925) 209-3035
Mailing address
5401 W PLACITA DE LA PROMESA, TUCSON, AZ 85745-9541

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5695
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5695
LICENSE
AZ
Enumeration date
09/12/2018
Last updated
09/12/2018
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