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NPI Code Detail

MEDICARE: ELISA D MURRIETTA

MEDICARE: ELISA D MURRIETTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant8367AAZ

General Provider Information

NPI Number : 1326539339
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISA D MURRIETTA
Provider Business Mailing Address
First Line : 77 N CAMINO SECO APT 2114
Second Line :
City : TUCSON
State : AZ
Zip : 85710-2976
Country : US
Telephone Number : 520-440-9174
Fax Number :
Provider Business Practice Location Address
First Line : 2040 N WILMOT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-3039
Country : US
Telephone Number : 520-300-6115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2018
Last Update Date : 05/24/2018

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Directions to “ ELISA D MURRIETTA ” Practice Location

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