Individual
ANGELA SHEW ELLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
206 OLD BRICKYARD RD, NORTH WILKESBORO, NC 28659-8971
(336) 667-2211
Mailing address
206 OLD BRICKYARD RD, NORTH WILKESBORO, NC 28659-8971
(336) 667-2211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6007
NC
Other
Enumeration date
07/09/2025
Last updated
10/30/2025
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