Individual
MS. ELIZABETH CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT MHS, CWS, CLT
Contact information
Practice address
10 VILLAGE WEST DR UNIT A, SENOIA, GA 30276-3602
(678) 723-4415
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(866) 518-0283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070004704
IL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113326
HEALTHLINK PROV ID
—
01
—
203
BLUE CROSS PROV ID
IL
01
—
4117
HAMP PROVIDER ID
IL
01
—
7216
PERSONALCARE PROV ID
—
Enumeration date
03/28/2007
Last updated
02/09/2024
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