Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT025867 | PA |
NPI | 1083153605 |
---|---|
Provider Name | Elizabeth Michel |
First Address | Lafayette Hill, PA 19444-1805 |
Second Address | Lafayette Hill, PA 19444-1805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2017 |
Last Update Date | 15/02/2017 |