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NPI Code Detail

MEDICARE: DR. ELIZABETH M KENSKA PT

MEDICARE:  DR. ELIZABETH M KENSKA  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist012172OH
22251X0800XOrthopedic Physical Therapist1204847TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164678710
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH M KENSKA PT
Provider Business Mailing Address
First Line : 17360 NORTHWEST FWY
Second Line :
City : JERSEY VILLAGE
State : TX
Zip : 77040-1114
Country : US
Telephone Number : 713-849-2253
Fax Number : 713-849-3103
Provider Business Practice Location Address
First Line : 17360 NORTHWEST FWY
Second Line :
City : JERSEY VILLAGE
State : TX
Zip : 77040-1114
Country : US
Telephone Number : 713-849-2253
Fax Number : 713-849-3103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2008
Last Update Date : 06/11/2014

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Directions to “ DR. ELIZABETH M KENSKA PT” Practice Location

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