Doctor Name: | MS. ELAINE TAYLOR CASSEL |
NPI Number: | 1194876185 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2243 |
Business Practice Address: | 11279 W Grier Rd Suite 123 Marana, AZ - 856539609 |
Business Phone Number: | 5206824782 |
Business Fax Number: | 5206824818 |
Mailing Address: | 1339 W Hopbush Way, TUCSON |
State: | AZ |
Postal Code: | 857042645 |
Phone Number: | 5207979588 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 2243 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |