Individual
ELIZABETH GRACE BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2001 CHURCH LN, VILLA RICA, GA 30180-4720
(770) 459-6533
Mailing address
212 RETREAT VLG, SAINT SIMONS ISLAND, GA 31522-2403
(912) 638-1444
(912) 638-0077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014671
GA
2251P0200X
Pediatric Physical Therapist
PT014671
GA
Other
Enumeration date
06/26/2020
Last updated
08/28/2023
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