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NPI Code Detail

MEDICARE: ELISE HARRIS PT, DPT

MEDICARE:   ELISE  HARRIS  PT, DPT
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1679356372
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISE HARRIS PT, DPT
Provider Business Mailing Address
First Line : 1311 MAMARONECK AVE STE 140
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-5224
Country : US
Telephone Number : 914-265-4838
Fax Number :
Provider Business Practice Location Address
First Line : 100 CORPORATE CENTER DR STE 105
Second Line :
City : CORAOPOLIS
State : PA
Zip : 15108-4332
Country : US
Telephone Number : 412-742-0964
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2023
Last Update Date : 01/07/2026

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Directions to “ ELISE HARRIS PT, DPT” Practice Location

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