Doctor Name: | DR. BROOKE MIRANDA ELMORE |
NPI Number: | 1225423825 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT,DPT,CLT |
License Number: | P14582 |
Business Practice Address: | 3101 Duraleigh Rd Raleigh, NC - 276124189 |
Business Phone Number: | 9194754193 |
Business Fax Number: | |
Mailing Address: | 539 Keisler Dr, Suite#204 CARY |
State: | NC |
Postal Code: | 275189320 |
Phone Number: | 9198859135 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2015 |
NPI Last Update Date: | 09/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | P14582 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |