Individual
ELIZABETH HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(385) 308-8034
Mailing address
274 PROVIDENCE RD, ANNAPOLIS, MD 21409-6323
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
298022
CA
225100000X
Physical Therapist
Primary
26955
MD
225100000X
Physical Therapist
3405213732
VA
Other
Enumeration date
05/04/2018
Last updated
05/17/2023
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