Lori Anne Elyasevich PT, MHSA

NPI 1760802284 - Physical Therapist - 225100000X

NPI Details
NPI 1760802284
Gender Female
Enumeration Date 04/23/2014
Last Updated 04/23/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
4011 JESSE JAMES CT
CARLSBAD NM, 88220-9771, US
Phone (575) 418-9263
Fax
Business Location
4011 JESSE JAMES CT
CARLSBAD NM, 88220-9771, US
Phone (575) 418-9263
Fax
Toxanomy
Taxonomy Code 225100000X
License State New Mexico
License Number 3381
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According to our database, Lori Anne Elyasevich PT, MHSA NPI is 1760802284, taxonomy code is 225100000X and license number is 3381, license state is located at New Mexico. Lori Anne Elyasevich PT, MHSA physically located at 4011 Jesse James Ct, Carlsbad NM, 88220-9771. NPI Number Lori Anne Elyasevich PT, MHSA has the Individual type.

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1760802284 NPI number is provided on an as is basis without warranty of any kind. 1760802284 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Anne Elyasevich PT, MHSA are for informational purposes only.