Individual
ELLEN WEINEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1025 THINK PL, MORRISVILLE, NC 27560-9019
(919) 784-4474
Mailing address
1025 THINK PL, MORRISVILLE, NC 27560-9019
(919) 784-4474
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3113
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0798G
BLUE SHIELD
NC
01
—
11337069
CAQH
NC
05
—
720798G
—
NC
Enumeration date
04/02/2007
Last updated
11/06/2018
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