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NPI Code Detail

MEDICARE: ROSS ELLIOTT

MEDICARE: ROSS ELLIOTT
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 : 1982251930
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSS ELLIOTT
Provider Business Mailing Address
First Line : 105 HAWTHORN LN
Second Line :
City : MORGANTON
State : NC
Zip : 28655-3748
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20 W MEDICAL CT
Second Line :
City : MARION
State : NC
Zip : 28752-4968
Country : US
Telephone Number : 828-659-8049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2019
Last Update Date : 08/23/2019

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Directions to “ ROSS ELLIOTT ” Practice Location

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