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Individual
ELIZABETH CARNIE
Active
Individual
ELIZABETH CARNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033130
LICENSE
NY
01
—
P75213
PERMIT
NY
Enumeration date
10/27/2010
Last updated
11/04/2010
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