Doctor Name: | MRS. ELIZABETH ROEBUCK ROEBUCK |
NPI Number: | 1225314222 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT6197 |
Business Practice Address: | 810 Se 7th St Fort Lauderdale, FL - 33301 |
Business Phone Number: | 9542886665 |
Business Fax Number: | |
Mailing Address: | 810 Se 7th St, FORT LAUDERDALE |
State: | FL |
Postal Code: | 33301 |
Phone Number: | 9542886665 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2011 |
NPI Last Update Date: | 02/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 08/21/2012 |
NPI Reactivation Date: | 02/08/2013 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT6197 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |