Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT41832 | CA |
NPI | 1316509557 |
---|---|
Provider Name | Elizabeth M Popolizio |
First Address | San Francisco, CA 94117-1310 |
Second Address | San Francisco, CA 94117-1019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2019 |
Last Update Date | 08/07/2019 |