Most Relevant Information
Provider Data
| NPI Number: | 1003058108 |
| Provider Name: | ELIZABETH BROTHERTON P. T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1187450 |
Most Important Dates
| Enumeration Date: | 04/03/2009 |
| Last Updated: | 04/13/2011 |
Provider Practice Location
85 NE LOOP 410 STE 612
SAN ANTONIO
TX
782165866
Practice Location Phone/Fax
| Phone: | 2103082900 |
| Fax: |
Provider Mailing Location
3786 HIDEAWAY GRN
SAN ANTONIO
TX
782612803
Provider Mailing Phone/Fax
| Phone: | 3252459419 |
| Fax: |