Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 13960 | FL |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 13960 | FL |
NPI | 1609107291 |
---|---|
Provider Name | Mrs. Elizabeth Carmen Albizo |
First Address | Henderson, NV 89052-5505 |
Second Address | Boca Raton, FL 33487-2773 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2010 |
Last Update Date | 20/01/2010 |