Provider Demographics
NPI:1558312066
Name:PARTAIN, ELIZABETH (LIBBY) ANN (PT,MS,PCS)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH (LIBBY)
Middle Name:ANN
Last Name:PARTAIN
Suffix:
Gender:F
Credentials:PT,MS,PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-3161
Mailing Address - Country:US
Mailing Address - Phone:949-574-1200
Mailing Address - Fax:
Practice Address - Street 1:425 E 18TH ST
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-3161
Practice Address - Country:US
Practice Address - Phone:949-574-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0061542251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics