Provider Demographics
NPI:1245418532
Name:HARVEY, ELIZABETH GEIGER (PT, DPT, MSR, DHS)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:GEIGER
Last Name:HARVEY
Suffix:
Gender:F
Credentials:PT, DPT, MSR, DHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3516 S LIVE OAK DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:MONCKS CORNER
Mailing Address - State:SC
Mailing Address - Zip Code:29461-8762
Mailing Address - Country:US
Mailing Address - Phone:843-899-1411
Mailing Address - Fax:843-899-1204
Practice Address - Street 1:737 BUNKERHILL LN
Practice Address - Street 2:
Practice Address - City:MONCKS CORNER
Practice Address - State:SC
Practice Address - Zip Code:29461-5929
Practice Address - Country:US
Practice Address - Phone:843-482-0878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
SC44772251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist