Individual
ELIZABETH BOYER-DERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3721 CRESCENT CT W, WHITEHALL, PA 18052-3446
(610) 820-7667
(610) 820-7671
Mailing address
3721 CRESCENT CT W, WHITEHALL, PA 18052-3446
(610) 820-7667
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT021711
PA
Other
Enumeration date
11/03/2011
Last updated
03/03/2015
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