Provider Demographics
NPI:1417222043
Name:MARTIN, ELIZABETH HILTZ (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:HILTZ
Last Name:MARTIN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:EILEEN
Other - Middle Name:ELIZABETH
Other - Last Name:HILTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:969 COLONIAL MEADOWS WAY
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-3143
Mailing Address - Country:US
Mailing Address - Phone:757-319-2407
Mailing Address - Fax:
Practice Address - Street 1:969 COLONIAL MEADOWS WAY
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3143
Practice Address - Country:US
Practice Address - Phone:757-319-2407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-15
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305207306225100000X
FL27111225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist