Provider Demographics
NPI:1588777494
Name:CALHOUN, ELIZABETH COURTNEY (PT, DPT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:COURTNEY
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15712 CLINTON RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72118-1461
Mailing Address - Country:US
Mailing Address - Phone:501-517-7048
Mailing Address - Fax:
Practice Address - Street 1:4300 W 7TH ST # 117/LR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5446
Practice Address - Country:US
Practice Address - Phone:501-257-6414
Practice Address - Fax:501-257-6419
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT2696225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist