Elias, Audrey R

Elias, Audrey R is an individual health care provider with primary practice located at 1114 Georgiana St , Port Angeles WA 98362-4212. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Elias, Audrey R can be contacted via phone (360) 452-6216.

Contact Information

Primary practice address
1114 Georgiana St Port Angeles WA 98362-4212
Phone: (360) 452-6216
Fax: (360) 452-8765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT60095069 Washington

Profile Details

NPI number 1689804957
LBN Legal business name Elias, Audrey R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2009
Last updated May 14th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689804957 NPPES
Washington Other 0252228 WASHINGTON L & I
Washington MEDICAID 1689804957 WASHINGTON L & I
Washington Other P00802461 WASHINGTON L & I

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