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Contact Information

ELIZA C ELLSWORTH, DPT
700 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK99559
 Phone: 907-543-6342
 Fax: 907-543-6580
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ELIZA C ELLSWORTH · (Female)

NPI Number 1013274620
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 04/19/2012
Last updated 08/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 103069
  • OK Medicaid 200436060A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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