| NPI | 1801930730 |
|---|---|
| Former Name | ELIZABETH ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 4925) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: KY 004925) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-07-30 |