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NPI Code Detail

MEDICARE: ELISABETH FLORA DPT

MEDICARE: ELISABETH FLORA DPT
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 Therapist13134TN

General Provider Information

NPI Number : 1962095174
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISABETH FLORA DPT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-7568
Fax Number :
Provider Business Practice Location Address
First Line : 275 JACKSON MEADOWS DR STE 101
Second Line :
City : HERMITAGE
State : TN
Zip : 37076-1454
Country : US
Telephone Number : 615-885-7848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2021
Last Update Date : 02/18/2021

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Directions to “ ELISABETH FLORA DPT” Practice Location

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