# ELIZABETH H PETRY-JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003820226
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 5036 | SC | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 07/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 943423122 | INSURANCE PROVIDER NUMBER | SC |
| 01 | — | P00263714 | MEDICARE RAILROAD NUMBER | SC |