Individual
MR. RICHARD WILLIAMS ELICIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3271 E QUEEN CREEK RD, SUITE 101, GILBERT, AZ 85297-8508
(480) 621-8361
(480) 621-8513
Mailing address
5851 E HARMONY AVE, MESA, AZ 85206-5531
(928) 651-5601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10498PT
AZ
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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