Individual
ELIZABETH LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 BEVILLE RD STE G, SOUTH DAYTONA, FL 32119-1736
(386) 756-4395
Mailing address
10695 E STANTON RD, CRYSTAL, MI 48818-8622
(989) 763-6689
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2075730
TX
225200000X
Physical Therapy Assistant
Primary
5502002224
MI
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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