Provider Demographics
NPI:1215078936
Name:TOURE, ELIZABETH BOLLMAN (MPT)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:BOLLMAN
Last Name:TOURE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4428 HAYBURY DR
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-8690
Mailing Address - Country:US
Mailing Address - Phone:614-980-8433
Mailing Address - Fax:
Practice Address - Street 1:4428 HAYBURY DR
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-8690
Practice Address - Country:US
Practice Address - Phone:614-980-8433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH010696225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist