Individual
ELIZABETH JORLETT
Active
Individual
ELIZABETH JORLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305002514
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194409
ANTHEM
VA
01
—
45084
OPTIMA
VA
01
—
49-6679
MEDICARE
VA
05
—
49-7850-1
—
VA
Enumeration date
03/06/2009
Last updated
03/06/2009
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