Provider Demographics
NPI:1922264936
Name:ROJAS, ELISA M (PT)
Entity Type:Individual
Prefix:
First Name:ELISA
Middle Name:M
Last Name:ROJAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9171 BALTIMORE NATIONAL PIKE
Mailing Address - Street 2:STE 120
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-3944
Mailing Address - Country:US
Mailing Address - Phone:410-480-3705
Mailing Address - Fax:410-480-3707
Practice Address - Street 1:9171 BALTIMORE NATIONAL PIKE
Practice Address - Street 2:STE 120
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-3944
Practice Address - Country:US
Practice Address - Phone:410-480-3705
Practice Address - Fax:410-480-3707
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20777225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist