Doctor Name: | MARY S ELSEA |
NPI Number: | 1588946909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 01436 |
Business Practice Address: | 11709 Old Ballas Road Ste 205 Amato Physcial Therapy St Louis, MO - 631417076 |
Business Phone Number: | 3149910483 |
Business Fax Number: | 3149910487 |
Mailing Address: | 11709 Old Ballas Road Ste 205, Amato Physcial Therapy ST LOUIS |
State: | MO |
Postal Code: | 631417076 |
Phone Number: | 3149910483 |
Fax Number: | 3149910487 |
NPI Enumeration Date: | 09/12/2011 |
NPI Last Update Date: | 09/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 01436 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |