Provider Demographics
NPI:1417259516
Name:FABRIZIO, ELIZABETH A (RPT)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:A
Last Name:FABRIZIO
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E BOYNTON BEACH BLVD
Mailing Address - Street 2:UNIT 1109
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-4100
Mailing Address - Country:US
Mailing Address - Phone:561-860-4534
Mailing Address - Fax:
Practice Address - Street 1:700 E BOYNTON BEACH BLVD
Practice Address - Street 2:UNIT 1109
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-4100
Practice Address - Country:US
Practice Address - Phone:561-860-4534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT4781225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT4781OtherPHYSICAL THERAPIST