Elijah St John, PTA

NPI #1699252247 in Temple, Texas

Provider Information

NPI Number: 1699252247
Entity Type: Individual
Name: Elijah St John, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: Jul 26, 2018
Last Updated: Feb 20, 2020

Practice Location

Address: 201 PALOMA DR
City: Temple
State: Texas
ZIP Code: 76502-7650
Phone: (936) 204-0522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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