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General NPI Number Information
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NPI Number | 1669687083
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Entity Type | Individual
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Provider Name | CATHERINE ANN ELLIOTT PT
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7901 FROST ST
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City | SAN DIEGO
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State | CA
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Zip | 92123-2701
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Country | US
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Telephone | 858-939-3377
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Fax |
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Provider Business Mailing Address
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Address Line | 8841 SPECTRUM CENTER BLVD #5203
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City | SAN DIEGO
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State | CA
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Zip | 92123-1472
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Country | US
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Telephone | 858-361-2244
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 17014
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1590
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License Number State | OR
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