Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 02567 | IA |
NPI | 1003038936 |
---|---|
Provider Name | Elizabeth Isbell |
First Address | Bettendorf, IA 52722-5866 |
Second Address | Bettendorf, IA 52722-5866 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |