ELIJAH JERAE BISHOP

LA QUINTA, CA
NPI1710902051
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT28284)
Enumeration Date2006-07-13
Last Update Date2019-05-13
Business Address
ELIJAH JERAE BISHOP PT MPT OCS
79440 CORPORATE CENTER DR STE 112
LA QUINTA, CA 92253-7243
Phone number: 760-771-9054
Mailing Address
ELIJAH JERAE BISHOP PT MPT OCS
49065 SERENATA CT
LA QUINTA, CA 92253-2413
Phone number: 818-731-0317
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