Provider Demographics
NPI:1699491217
Name:TOBIO, ELIZABETH (PT, DPT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:TOBIO
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 1:14 MAYFAIR CIR
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-1223
Mailing Address - Country:US
Mailing Address - Phone:781-366-5826
Mailing Address - Fax:
Practice Address - Street 1:2000 CHAPEL VIEW BLVD STE 140
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-3087
Practice Address - Country:US
Practice Address - Phone:401-533-9616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT03568225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist