| NPI | 1689861338 |
|---|---|
| Former Name | ANNA KATIE ELLEDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 13331) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR AR3027) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AR AR3027) | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2017-11-28 |