# ELIZABETH VICTORIA YBARRA

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

## Provider details

- **NPI number:** 1063058758
- **Gender:** F
- **Credential:** PT, DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 300951 | CA | — |
| 225100000X | Physical Therapist | PT5621 | NM | Yes |

## Other

- **Enumeration date:** 11/18/2019
- **Last updated:** 09/25/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 300951 | PT LICENSE | CA |
| 01 | — | PT5261 | STATE OF NEW MEXICO | NM |