Individual
MRS. ELIZABETH POLOVICH GILREATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
110 ELECIA LN, FOLEY, AL 36535-8970
(251) 971-1436
Mailing address
116 HIGH PINES RDG, FAIRHOPE, AL 36532-6312
(251) 928-3803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH923
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-29267
BCBS PROVIDER NUMBER
AL
Enumeration date
05/09/2007
Last updated
07/08/2007
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