Elizabeth Forma, P.T.

NPI #1114322534 in El Cerrito, California

Provider Information

NPI Number: 1114322534
Entity Type: Individual
Name: Elizabeth Forma, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Oct 28, 2014
Last Updated: Oct 28, 2014

Practice Location

Address: 425 KEARNEY ST
City: El Cerrito
State: California
ZIP Code: 94530-3656
Phone: (510) 524-2177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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