Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elizabeth Madison Pernell

Individual provider Physical Therapy Assistant · NPI 1962221382

Elizabeth Madison Pernell is a Physical Therapy Assistant in San Diego, California. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2024
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Practice location Address checks out

12264 El Camino Real
San Diego, CA 92130-3058
Phone: (858) 509-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306606368 (VA)

Record details

NPI number1962221382
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 3, 2024
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

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