Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 11859 | TN |
NPI | 1366069114 |
---|---|
Provider Name | Elizabeth A Cary |
First Address | Hoover, AL 35242-5424 |
Second Address | Stone Mountain, GA 30087-3006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2020 |
Last Update Date | 25/03/2021 |