Doctor Name: | ELIZABETH ANN MIRACLE |
NPI Number: | 1013164169 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 32786 |
Business Practice Address: | 816 Diamond St San Francisco, CA - 941143625 |
Business Phone Number: | 4154028083 |
Business Fax Number: | 8442738097 |
Mailing Address: | 816 Diamond St, SAN FRANCISCO |
State: | CA |
Postal Code: | 941143625 |
Phone Number: | 4154028083 |
Fax Number: | 8442738097 |
NPI Enumeration Date: | 08/20/2008 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 32786 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |