Individual
MISS ELIZABETH MARIE FORTENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8470 FALLS OF NEUSE RD, STE 106, RALEIGH, NC 27615-3550
(919) 803-0738
Mailing address
8470 FALLS OF NEUSE RD, STE 106, RALEIGH, NC 27615-3550
(919) 803-0738
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1997
NV
225100000X
Physical Therapist
Primary
11608
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509062
—
NV
Enumeration date
06/08/2006
Last updated
08/22/2016
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