Doctor Name: | ANTHONY ROY ELSE |
NPI Number: | 1457408668 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT12961 |
Business Practice Address: | 51 Nw Carolina St Suite103 W Melbourne, FL - 329044107 |
Business Phone Number: | 3217570626 |
Business Fax Number: | 3217570323 |
Mailing Address: | 1126 Woodsmere Pkwy, ROCKLEDGE |
State: | FL |
Postal Code: | 329554408 |
Phone Number: | 3217570626 |
Fax Number: | 3217570323 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 09/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT12961 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |