Doctor Name: | DEANNA MARIE ELLIOTT |
NPI Number: | 1710254214 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 6702 |
Business Practice Address: | 4645 S Clyde Morris Blvd Suite 407 Port Orange, FL - 321293004 |
Business Phone Number: | 3867631771 |
Business Fax Number: | |
Mailing Address: | 2002 W Sunset Dr, Suite 1 RIVERTON |
State: | WY |
Postal Code: | 825012283 |
Phone Number: | 3078567021 |
Fax Number: | |
NPI Enumeration Date: | 11/28/2011 |
NPI Last Update Date: | 11/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6702 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |