Doctor Name: | MRS. ELIZABETH ANN LANDGRAF |
NPI Number: | 1346379096 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 929013 |
Business Practice Address: | 1161 E Clark Rd Suite 156 Dewitt, MI - 488207930 |
Business Phone Number: | 5176680000 |
Business Fax Number: | 5176680017 |
Mailing Address: | 3457 Ramsgate Dr, LANSING |
State: | MI |
Postal Code: | 489069251 |
Phone Number: | 5177039262 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 04/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 929013 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |