| NPI | 1285159772 |
|---|---|
| Former Name | ELIZABETH GRACE ALTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9555) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012977) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2024-06-19 |