Doctor Name: | ELISE MARIE DEWIT |
NPI Number: | 1407087208 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 5413 |
Business Practice Address: | 2960 Doctors Park Dr Medford, OR - 975048127 |
Business Phone Number: | 5417893770 |
Business Fax Number: | 5417895372 |
Mailing Address: | 644 Ashland Creek Dr, ASHLAND |
State: | OR |
Postal Code: | 975202739 |
Phone Number: | 5414887484 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2009 |
NPI Last Update Date: | 07/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5413 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |