Doctor Name: | ELIZABETH W PRINCE |
NPI Number: | 1518046937 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT001140 |
Business Practice Address: | 4916 Princess Dr Lake Park, GA - 316363120 |
Business Phone Number: | 2294604630 |
Business Fax Number: | |
Mailing Address: | 3798 Bermuda Run Dr, VALDOSTA |
State: | GA |
Postal Code: | 316051060 |
Phone Number: | 2294604630 |
Fax Number: | 2292456561 |
NPI Enumeration Date: | 11/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT001140 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |