Healthcare Provider Details

I. General information

NPI: 1811440936
Provider Name (Legal Business Name): ELIZABETH LYNN WHITEHILL PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 07/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CUMMINGS CTR SUITE 121Q, C/O ORTHOPAEDICS PLUS
BEVERLY MA
01915-6115
US

IV. Provider business mailing address

101 CAMBRIDGE ST C/O ORTHOPAEDICS PLUS
BURLINGTON MA
01803-3766
US

V. Phone/Fax

Practice location:
  • Phone: 978-927-0907
  • Fax: 978-927-0537
Mailing address:
  • Phone: 781-229-8011
  • Fax: 781-229-8374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: