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Individual

ELIZABETH DAY LEHRTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
6475 VAN BUREN ST, SUITE 102, DAPHNE, AL 36526-7585
(251) 626-9052
(251) 626-5384
Mailing address
31565 TARA BLVD W, SPANISH FORT, AL 36527-5127
(251) 626-9052
(251) 626-5384

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5793
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1700831666
MEDICARE PIN, ORGANIZATIONAL
AL
Enumeration date
05/10/2010
Last updated
05/23/2014
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