Philip Elsas ITDS CERTIFIED

NPI 1275747016 - Developmental Therapist - 222Q00000X

NPI Details
NPI 1275747016
Gender Male
Enumeration Date 05/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4101-1 COLLEGE ST
JACKSONVILLE FL, 32205-5318, US
Phone (904) 387-0370
Fax (904) 387-0156
Business Location
4101-1 COLLEGE ST
JACKSONVILLE FL, 32205-5318, US
Phone (904) 387-0370
Fax (904) 387-0156
Toxanomy
Taxonomy Code 222Q00000X
License State
License Number
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According to our database, Philip Elsas ITDS CERTIFIED NPI is 1275747016, taxonomy code is 222Q00000X Philip Elsas ITDS CERTIFIED physically located at 4101-1 College St, Jacksonville FL, 32205-5318. NPI Number Philip Elsas ITDS CERTIFIED has the Individual type.

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1275747016 NPI number is provided on an as is basis without warranty of any kind. 1275747016 is maintained by the National Plan & Provider Enumeration System. The contents of Philip Elsas ITDS CERTIFIED are for informational purposes only.