Individual
MRS. KAREN DIANE ELLEXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6260 SHADY ACRES DR, ROANOKE, VA 24014-7100
(540) 776-0674
Mailing address
6260 SHADY ACRES DR, ROANOKE, VA 24014-7100
(540) 776-0674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005712
VA
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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