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NPI Code Detail

MEDICARE: MS. ELIZABETH ANNE WRIGHT MPT

MEDICARE:  MS. ELIZABETH ANNE WRIGHT  MPT
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 Therapist23007FL

General Provider Information

NPI Number : 1245365709
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH ANNE WRIGHT MPT
Provider Business Mailing Address
First Line : 18941 PORTOFINO DR
Second Line :
City : TAMPA
State : FL
Zip : 33647-3409
Country : US
Telephone Number : 214-335-6103
Fax Number :
Provider Business Practice Location Address
First Line : 5503 E FOWLER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33617-2225
Country : US
Telephone Number : 813-983-0440
Fax Number : 813-983-8110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 07/08/2007

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Directions to “ MS. ELIZABETH ANNE WRIGHT MPT” Practice Location

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