| NPI | 1033808837 |
|---|---|
| Former Name | ELIZABETH KINGSBURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039423-01) |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-05-05 |