Individual
LASHAWN ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
167 MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2659
Mailing address
16 MAYBROOK RD, SUITE C, CAMPBELL HALL, NY 10916-2743
(845) 636-4344
(845) 636-4355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
22329
MD
225100000X
Physical Therapist
Primary
P12856
NC
Other
Enumeration date
10/05/2009
Last updated
01/13/2023
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