| NPI | 1902966104 |
|---|---|
| Former Name | ELIZABETH EILERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 7150) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1157200) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2026-07-20 |