| NPI | 1265818728 |
|---|---|
| Former Name | ELIZABETH VAN NORTWICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0017167) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62 039292) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2021-01-18 |