Provider Demographics
NPI:1881757888
Name:AKINCILAR, ELIZABETH HANDAN (MSPT)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:HANDAN
Last Name:AKINCILAR
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:RUMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:303 WYMAN ST
Mailing Address - Street 2:STE 300 RM 369
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451
Mailing Address - Country:US
Mailing Address - Phone:781-577-6648
Mailing Address - Fax:781-530-3605
Practice Address - Street 1:303 WYMAN ST
Practice Address - Street 2:STE 300 RM 369
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451
Practice Address - Country:US
Practice Address - Phone:781-577-6648
Practice Address - Fax:781-530-3605
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27193225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist