Shelley Rae Mongrain, PT

NPI #1598947558 in Ellensburg, Washington

Provider Information

NPI Number: 1598947558
Entity Type: Individual
Name: Shelley Rae Mongrain, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 3, 2007
Last Updated: Jul 17, 2014

Practice Location

Address: 220 E HELENA AVE
City: Ellensburg
State: Washington
ZIP Code: 98926-2004
Phone: (509) 430-7995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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