Healthcare Provider Details

I. General information

NPI: 1932280302
Provider Name (Legal Business Name): ELIZABETH SCARPELLI PT,OCS,FAAOMPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 18TH STREET SUITE 102
SAN FRANCISCO CA
94114-2449
US

IV. Provider business mailing address

4200 18TH ST SUITE 102
SAN FRANCISCO CA
94114-2470
US

V. Phone/Fax

Practice location:
  • Phone: 415-255-1536
  • Fax:
Mailing address:
  • Phone: 415-626-1929
  • Fax: 415-626-2607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCA8498
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: