Shasta J Ellenburg, PT
NPI #1104113935 in Ozark, Alabama
Provider Information
- NPI Number
- 1104113935
- Entity Type
- Individual
- Name
- Shasta J Ellenburg, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jun 30, 2011
- Last Updated
- Jun 30, 2011
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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