Provider Demographics
NPI:1255476503
Name:LOWE, ELIZABETH J (PT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:J
Last Name:LOWE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EXCELLENCE IN THERAPY 345 RIDGE COURT
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076
Mailing Address - Country:US
Mailing Address - Phone:770-641-9239
Mailing Address - Fax:770-641-9335
Practice Address - Street 1:EXCELLENCE IN THERAPY 345 RIDGE COURT
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076
Practice Address - Country:US
Practice Address - Phone:770-641-9239
Practice Address - Fax:770-641-9335
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT008604174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist