Provider Demographics
NPI:1982783817
Name:MAPLES, ELIZABETH LEIGH (DPT)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LEIGH
Last Name:MAPLES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2140 SECOFFEE ST APT 1
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-3201
Mailing Address - Country:US
Mailing Address - Phone:305-926-7085
Mailing Address - Fax:305-740-6998
Practice Address - Street 1:2140 SECOFFEE ST APT 1
Practice Address - Street 2:
Practice Address - City:COCONUT GROVE
Practice Address - State:FL
Practice Address - Zip Code:33133-3201
Practice Address - Country:US
Practice Address - Phone:305-926-7085
Practice Address - Fax:305-740-6998
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22957225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist