Individual
ELIZABETH ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7630 N BEACH ST, FORT WORTH, TX 76137-1299
(817) 370-9891
Mailing address
7630 N BEACH ST, FORT WORTH, TX 76137-1299
(817) 370-9891
(817) 370-9894
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1231731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192079501
—
TX
Enumeration date
11/04/2016
Last updated
02/20/2020
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