Provider Demographics
NPI:1649359092
Name:QUINLISK, ELIZABETH M (PT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:QUINLISK
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 1:239 HAMPSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-2343
Mailing Address - Country:US
Mailing Address - Phone:215-262-0351
Mailing Address - Fax:215-643-5478
Practice Address - Street 1:250 N BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-3524
Practice Address - Country:US
Practice Address - Phone:215-262-0351
Practice Address - Fax:215-643-5478
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006411L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA089501Medicare ID - Type Unspecified