Individual
MRS. ELIZABETH A HERLIHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
150 GENTILLY BLVD, CARTERSVILLE, GA 30120-8522
(678) 719-7000
(678) 719-7003
Mailing address
80 TECHNACENTER DR, SUITE 300, MONTGOMERY, AL 36117-6028
(334) 625-5795
(334) 396-4905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010866
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13638326
CAQH
GA
Enumeration date
11/21/2012
Last updated
03/16/2016
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