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Individual

ELIZABETH FARMER

Active
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Individual

ELIZABETH FARMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, ATC

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007601
GA
225100000X
Physical Therapist
PTH3757
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000972254A
GA
05
000972254G
GA
01
P00320623
RR MEDICARE
GA
Enumeration date
07/07/2005
Last updated
08/21/2020
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