Individual
MRS. ELISABETH WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
255 GRAPEVINE RD, WENHAM, MA 01984-1813
(978) 867-4095
(978) 867-4680
Mailing address
255 GRAPEVINE RD, WENHAM, MA 01984-1813
(978) 867-4095
(978) 867-4680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16839
MA
Other
Enumeration date
10/18/2005
Last updated
01/19/2015
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