Individual
MRS. ELISE KAY EGOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23654
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23654
PT LICENSE NUMBER
MD
Enumeration date
01/18/2017
Last updated
12/18/2023
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