Individual
MRS. ELIZABETH BRADLEY FIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
333 LEE DRIVE, SUITE D, BATON ROUGE, LA 70808
(225) 490-3424
(225) 490-3422
Mailing address
1055 LONGWOOD DRIVE, BATON ROUGE, LA 70806
(225) 490-3424
(225) 490-3422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05185
LA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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