Individual
ELIZABETH ANN BLOODGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
30A SAMFORD AVE # B, OPELIKA, AL 36801-3118
(334) 742-9266
Mailing address
961 GREEN RIDGE RD, CATAULA, GA 31804-3213
(707) 327-5386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT002398
GA
225100000X
Physical Therapist
Primary
PTH2838
AL
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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