IndividualActive
Elisabeth Federico, PT
NPI 1124101415 · Pediatric Physical Therapist · Jacksonville, FL
Provider details
- NPI number
- 1124101415
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT5608 (FL)
Mailing address
3615 Oak St
Jacksonville, FL 32205-9021
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.