Individual
ELIZABETH MARTIN HARBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6626 GORDON RD STE H, WILMINGTON, NC 28411-8424
(910) 233-0726
Mailing address
203 SPICER LAKE DR, HOLLY RIDGE, NC 28445-8902
(910) 409-7954
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2928
NC
225100000X
Physical Therapist
P2928
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992947139
NATIONAL PROVIDER IDENTIFICATION
NC
01
—
P2928
NORTH CAROLINA BOARD OF PHYSICAL THERAPY
NC
Enumeration date
04/02/2009
Last updated
05/07/2021
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