Individual
MRS. ELIZABETH MINER ST. JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
144 METAIRIE LAWN DR, METAIRIE, LA 70001-5449
(504) 615-1029
Mailing address
144 METAIRIE LAWN DR, METAIRIE, LA 70001-5449
(504) 615-1029
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
1175918
TX
2251P0200X
Pediatric Physical Therapist
Primary
07431R
LA
Other
Enumeration date
07/14/2008
Last updated
01/23/2013
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