Ellen Ferrenburg

NPI #1770106502 in Star, Idaho

Provider Information

NPI Number: 1770106502
Entity Type: Individual
Name: Ellen Ferrenburg
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 27, 2020
Last Updated: May 27, 2020

Practice Location

Address: 64 S STAR RD
City: Star
State: Idaho
ZIP Code: 83669-5497
Phone: (208) 488-4250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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