| NPI | 1104536887 |
|---|---|
| Former Name | ELIZABETH WHITNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1355210) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1355210) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |