Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | ||
Y | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1437781846 |
---|---|
Provider Name | Elizabeth Rosenfeld |
First Address | Santa Monica, CA 90405-5217 |
Second Address | Santa Monica, CA 90405-5217 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2020 |
Last Update Date | 04/02/2020 |