| NPI | 1831114404 |
|---|---|
| Former Name | ELIZABETH FEDOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT011902) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05007298A) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2026-05-11 |