Individual
ELIZABETH KOVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3280 HOWELL MILL RD NW STE 139, ATLANTA, GA 30327-4107
(404) 355-2913
Mailing address
3280 HOWELL MILL RD NW STE 139, ATLANTA, GA 30327-4107
(404) 355-2913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
GA006090
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA006090
STATE LISC NUMBER
GA
Enumeration date
11/03/2006
Last updated
11/10/2009
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