Most Relevant Information
Provider Data
| NPI Number: | 1003820226 |
| Provider Name: | ELIZABETH H PETRY-JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5036 |
Most Important Dates
| Enumeration Date: | 07/27/2006 |
| Last Updated: | 07/18/2014 |
Provider Practice Location
140 EXECUTIVE DR
GREER
SC
296511200
Practice Location Phone/Fax
| Phone: | 8648486339 |
| Fax: | 8648487203 |
Provider Mailing Location
1361 W WADE HAMPTON BLVD STE F
PMB 207
GREER
SC
296501146
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |