Individual
ELLEN WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
540 LAKE CENTER PKWY, STE 107, CUMMING, GA 30040-7727
(770) 205-3939
(770) 205-4994
Mailing address
6430 STALLION DR, CUMMING, GA 30040-7020
(770) 781-2307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00004474
GA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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