| NPI | 1912428566 |
|---|---|
| Former Name | ELIZABETH PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 11821) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012874) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2024-02-28 |