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Ewa Elliott, PTA

Physical Therapy Assistant in Patchogue, NY. Individual provider (NPI-1).

NPI number1023312840
StatusActive
Last updated in NPPESJan 9, 2011

Details

NPI
1023312840
Entity type
Individual (NPI-1)
Name
Mrs. Ewa Elliott
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 9, 2011
Last updated
Jan 9, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant03522-1NYYes

Practice location

180a Grove Ave
Patchogue, NY 11772-4134

Phone 631-697-8613

Mailing address

180a Grove Ave
Patchogue, NY 11772-4134

Phone 631-697-8613

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