| NPI | 1639929649 |
|---|---|
| Other Name | ELIIZABETH LEE FUGITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4590) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-08-20 |